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Sample records for circumference cut-off values

  1. Cut off values of waist circumference & associated cardiovascular risk in egyptians

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    Ibrahim M

    2011-08-01

    Full Text Available Abstract Background Recent guidelines stressed the need to adopt different values of waist circumference (WC measurements to define abdominal obesity in different ethnic groups. The aim of this study is to identify WC cutoff points in normotensive and hypertensive subjects which are diagnostic of abdominal obesity in a Middle Eastern population and the prevalence of abdominal obesity in a nationwide sample. Methods Data were collected during phase-2 of the Egyptians National Hypertension Project survey. Blood pressure, anthropometric measurements and laboratory studies were performed according to a standardized protocol by trained personnel. To derive the cutoff points for WC, we applied the factor analysis on CV risk factors: diabetes mellitus, decrease in HDL-C and increase in LDL-C, triglycerides and left ventricular mass index by echocardiography. Results The sample included 2313 individuals above the age of 25 years. WC values (mean ± SD were 88 ± 14 cm and 95 ± 14 cm for normotensive (NT and hypertensive (HT men respectively, and 89.6 ± 14.7 cm and 95.7 ± 15.9 cm for NT and HT women respectively. Applying factor analysis, the weighted average cutoff points were 93.5 cm for both NT and HT men and 91.5 and 92.5 cm for NT and HT women respectively. Based on these thresholds, the prevalence of abdominal obesity was 48% in men and 51.5% in women. Conclusion This is the first report of specific abdominal obesity cutoff points in a Middle Eastern country. The cutoff points were different from the Europid standards. There is a high prevalence rate of abdominal obesity among Egyptians which is associated with increased prevalence of cardiometabolic risk factors.

  2. Waist circumference cut-off values for the prediction of cardiovascular risk factors clustering in Chinese school-aged children: a cross-sectional study

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    Xu Ying

    2010-02-01

    Full Text Available Abstract Background Waist circumference has been identified as a valuable predictor of cardiovascular risk in children. The development of waist circumference percentiles and cut-offs for various ethnic groups are necessary because of differences in body composition. The purpose of this study was to develop waist circumference percentiles for Chinese children and to explore optimal waist circumference cut-off values for predicting cardiovascular risk factors clustering in this population. Methods Height, weight, and waist circumference were measured in 5529 children (2830 boys and 2699 girls aged 6-12 years randomly selected from southern and northern China. Blood pressure, fasting triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and glucose were obtained in a subsample (n = 1845. Smoothed percentile curves were produced using the LMS method. Receiver-operating characteristic analysis was used to derive the optimal age- and gender-specific waist circumference thresholds for predicting the clustering of cardiovascular risk factors. Results Gender-specific waist circumference percentiles were constructed. The waist circumference thresholds were at the 90th and 84th percentiles for Chinese boys and girls respectively, with sensitivity and specificity ranging from 67% to 83%. The odds ratio of a clustering of cardiovascular risk factors among boys and girls with a higher value than cut-off points was 10.349 (95% confidence interval 4.466 to 23.979 and 8.084 (95% confidence interval 3.147 to 20.767 compared with their counterparts. Conclusions Percentile curves for waist circumference of Chinese children are provided. The cut-off point for waist circumference to predict cardiovascular risk factors clustering is at the 90th and 84th percentiles for Chinese boys and girls, respectively.

  3. Optimal Waist Circumference Cut-off values for Identifying Metabolic Risk Factors in Middle-aged and Elderly Subjects in Shandong Province of China

    Institute of Scientific and Technical Information of China (English)

    HOU Xin Guo; ZHANG Xiu Ping; JIANG Mei; WANG Wei Qing; NING Guang; ZHENG Hui Zhen; MA Ai Xia; SUN Yu; SONG Jun; LIN Peng; LIANG Kai; WANG Chuan; LIU Fu Qiang; LI Wen Juan; XIAO Juan; GONG Lei; WANG Mei Jian; LIU Ji Dong; YAN Fei; YANG Jun Peng; WANG Ling Shu; TIAN Meng; MA Ze Qiang; ZHAO Ru Xing; JIANG Ling; CHEN Li; YANG Wei Fang; WANG Ji Xiang; LI Cheng Qiao; WANG Yu Lian; LIU Shu Min; Hu Xiu Ping

    2014-01-01

    Objective To study the optimal waist circumference (WC) cut-off values for identifying metabolic risk factors in middle-aged and elderly subjects in Shandong Province of China. Methods A total of 2 873 men and 5 559 women were included in this cross-sectional study. Metabolic syndrome (MetS) was diagnosed according to the definition of Chinese Diabetes Society in 2004. The relation between WC and MetS was analyzed by multivariate logistic regression analysis. The optimal WC cut-off values were identified using the area under the ROC curve and the different diagnostic criteria for central obesity were compared. Results The WC was the risk factor for MetS independent of BMI, blood glucose, blood lipid, and blood pressure. The optimal WC cut-off value was 83.8 cm and 91.1 cm for identifying MetS in women and men, respectively. Compared with 80 cm and 85 cm for women and men, 85 cm and 90 cm had a higher Youden index for identifying all metabolic risk factors and MetS in women and men. Conclusion The appropriate WC cut-off value is 85 cm and 90 cm for identifying central obesity and MetS in women and men in Shandong Province of China.

  4. Effectiveness of Different Waist Circumference Cut-off Values in Predicting Metabolic Syndrome Prevalence and Risk Factors in Adults in China

    Institute of Scientific and Technical Information of China (English)

    ZHOU Hai Cheng; TIAN Hao Ming; JI Qiu He; ZHU Da Long; CHEN Li; GUO Xiao Hui; ZHAO Zhi Gang; Li Qiang; ZHOU Zhi Guang; GE Jia Pu; SHAN Guang Liang; LAI Ya Xin; SHAN Zhong Yan; JIA Wei Ping; YANG Wen Ying; LU Ju Ming; WENG Jian Ping; JI Li Nong; LIU Jie

    2014-01-01

    Objective To study the effectiveness of waist circumference cut-off values in predicting the prevalence of metabolic syndrome (MetS) and risk factors in adults in China. Methods A cross-sectional survey was condcuted in 14 provinces (autonomous region, municipality) in China. A total of 47 325 adults aged ≥20 years were selected by multistage stratified sampling, and questionnaire survey and physical and clinical examination were conducted among them. MetS was defined according to the International Diabetes Federation (IDF) criteria and modified IDF criteria. Results The age-standardized prevalence of MetS was 24.2%(22.1%in men and 25.8%in women) and 19.5% (22.1% in men and 18.0% in women) according to the IDF criteria and modified IDF criteria respectively. The age-standardized prevalence of pre-MetS was 8.1%(8.6%in men and 7.8%in women) according to the modified IDF criteria. The prevalence of MetS was higher in urban residents than rural residents and in northern China residents than in southern China residents. The prevalence of central obesity was about 30% in both men and women according to the ethnicity-specific cut-off values of waist circumference for central obesity (90 cm for men and 85 cm for women). Multivariate regression analysis revealed no significant difference in risk factors between the two MetS definitions. Conclusion Using both the modified IDF criteria and ethnicity-specific cut-off values of waist circumference can provide more useful information about the prevalence of MetS in China.

  5. Predictive Values of Body Mass Index and Waist Circumference for Risk Factors of Certain Related Diseases in Chinese Adults - Study on Optimal Cut-off Points of Body Mass Index and Waist Circumference in Chinese Adults

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    For prevention of obesity in Chinese population, it is necessary to define the optimal range of healthy weight and the appropriate cut-off points of BMI and waist circumference for Chinese adults. The Working Group on Obesity in China under the support of International Life Sciences Institute Focal point in China organized a meta-analysis on the relation between BMI, waist circumference and risk factors of related chronic diseases (e. g.,high diabetes, diabetes mellitus, and lipoprotein disorders). Methods 13 population studies in all met the criteria for enrollment, with data of 239 972 adults (20-70 year) surveyed in the 1990s. Data on waist circumference was available for 111411 persons and data on serum lipids and glucose were available for more than 80 000. The study populations located in 21provinces, municipalities and autonomous regions in mainland China as well as in Taiwan. Each enrolled study provided data according to a common protocol and uniform format. The Center for data management in Department of Epidemiology, Fu Wai Hospital was responsible for statistical analysis. Results and conclusion The prevalence of hypertension, diabetes, dyslipidemia and clustering of risk factors all increased with increasing levels of BMI or waist circumference. BMI at 24 with best sensitivity and specificity for identification of the risk factors, was recommended as the cut-off point for overweight, BMI at 28 which may identify the risk factors with specificity around 90 % was recommended as the cut-off point for obesity. Waist circumference beyond 85 cm for men and beyond 80 cm for women were recommended as the cut-off points for central obesity.Analysis of population attributable risk percent illustrated that reducing BMI to normal range (<24) could prevent 45%-50% clustering of risk factors. Treatment of obese persons (BMI ≥ 28)with drugs could prevent 15%-17% clustering of risk factors. The waist circumference controlled under 85 cm for men and under 80 cm for

  6. Hemoglobin cut-off values in healthy Turkish infants

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    Ahmet Arvas; Emel Gür; DurmuşDoğan

    2014-01-01

    Background: Anemia is a widespread public health problem associated with an increased risk of morbidity and mortality. This study was undertaken to determine the cut-off value of hemoglobin for infant anemia. Methods: A cross-sectional retrospective study was carried out at well-baby clinics of a tertiary care hospital. A total of 1484 healthy infants aged between 4 to 24 months were included in the study. The relationship of hemoglobin (Hb) levels with mother age, birth weight, weight gain rate, feeding, and gender was evaluated. Results: The Hb levels were assessed in four age groups (4 months, 6 months, 9-12 months, and 15-24 months) and the cut-off values of Hb were determined. Hb cut-off values (5th percentile for age) were detected as 97 g/L and 93 g/L at 4 months and 6 months, respectively. In older infants, the 5th percentile was 90.5 g/L and 93.4 g/L at 9-12 months and 15-24 months, respectively. The two values were lower than the World Health Organization criteria for anemia, which could partly due to the lack of information on iron status in our population. However, this difference highlights the need for further studies on normal Hb levels in healthy infants in developing countries. Hb levels of females were higher in all age groups; however, a statistically significant difference was found in gender in only 6 month-old infants. No statistically significant difference was found among Hb levels, mother's age, birth weight, weight gain rate, and nutritional status. Conclusion: Hb cut-off values in infants should be re-evaluated and be compatible with growth and development of children in that community.

  7. Waist circumference cut-off in relation to body mass index and percentage of body fat in adult women from Merida, Mexico.

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    Datta Banik, Sudip; Dickinson, Federico

    2015-01-01

    Waist circumference (WC) as an index of central obesity is related to body mass index (BMI) and percent body fat (PBF). Waist circumference data were analyzed to identify a WC cut-off for adult women with respect to BMI-based obesity (≥ 30 kg/m²) and PBF. The sample was 138 women aged 22 to 41 years with Maya ancestry (based on surnames) in Merida, Yucatan, measured during 2011 - 2013. Anthropometric parameters included height, body weight (BW), and BMI. The PBF was estimated by bioelectrical impedance. Estimated cut-offs per centimeter WC (80 - 99 cm) were predicted by BMI for obesity (≥ 30 kg m⁻²; binomial: Yes = 1, No = 0) and PBF (continuous variable) using binary logistic regression analyses. Mean age was 32 years, mean BMI was 29 kg m(-2) and mean WC was 89 cm. The sample exhibited high PBF (44 %), and high rates of overweight (44%) and obesity (40%). The threshold WC (≥ 93 cm) had high sensitivity (80%), specificity (82%), Youden Index value (0.62), and correct classification rate (82%). The area under the receiver operating characteristic curve was 88 %. The WC ≥ 93 cm cut-off had corresponding values for mean BMI (34 kg m⁻²) and PBF (47%). The optimal WC cut-off at 93 cm significantly identified central obesity for BMI ≥ 30 kg m⁻² and PBF for this sample.

  8. Determining the waist circumference cut off which best predicts the metabolic syndrome components in urban Africans: the SABPA study

    OpenAIRE

    Malan, Leone; Potgieter, Johannes Cornelis; Steyn, Hendrik Stefanus; J. Prinsloo; De Ridder, Johannes Hendrik

    2011-01-01

    Various studies have shown that the relationship between waist circumference (WC) and abdominal obesity is age, gender as well as ethnicity-dependent. WC criteria for Sub Saharan Africans have not been defined by the International Diabetes Federation (IDF). The aim was to determine which WC cut off best predicted Metabolic Syndrome (MetS) in a group of urban African teachers (80 males and 93 females). We determined sphygmomanometer blood pressure, WC, glucose, high density lipoprotein cholest...

  9. Cut-off value of waist circumference for identifying metabolic syndrome in middle-aged and elder residents in Changfeng community of Shanghai%上海市长风社区中老年人群代谢综合征腰围切点的研究

    Institute of Scientific and Technical Information of China (English)

    江孙芳; 高鑫; 任利民; 陈旭异; 赵耐青

    2008-01-01

    Objective To explore an optimal cut-off value of waist circumference(WC)for identifying metabolic syndrome(MS)in middle-aged and elder residents in an urban community.Methods Database of 1558 residents aged 40-79 years at high-risk in screening for diabetes from Changfeng community,Putuo District,Shanghai during 2005 to 2007 was used to analyze sensitivity and specificity of varied cut-off values of WC for identifying two or more components of MS in men and women,respectively.Receiver operating characteristics(ROC)curve was used to explore the optimal value.Results Optimal cut-off value of WC was 85.0 cm for men and 80.0 cm for women,respectively,for identifying two or more components of MS bv ROC curve,with sensitivity of 72.3%and 74.9%,and specificity of 50.2%and 62.2%,respectively.Based on that optimal cut-off value of WC and definition of International Diabetes Federation(IOF),prevalence of MS was 38.8%in this population,40.7%in men and 37.8%in women,respectively.Conclusion The optimal cut-off value of WC was 85.0 cm in men and 80.0 cm in women,respectively,for identifying MS in the middle-aged and eldedy in an urban community of Shanghai.%目的 探讨社区中老年人代谢综合征(MS)中腰围的适宜切点.方法 利用2005至2007年对上海市长风社区糖尿病高危人群筛查所调查的1558例40~79岁社区居民资料,分析男性和女性不同腰围水平检出腰围以外的2个及2个以上MS组分的敏感度和特异度,采用受试者工作特征(ROC)曲线寻找适宜腰围切点.结果 根据ROC曲线,检出多个NS组分的适宜腰围切点,男性为85.0 cm,女性为80.0 cm,敏感度分别为72.3%和74.9%,特异度分别为50.2%和62.2%.以该切点为基础,参照国际糖尿病联盟的MS诊断工作定义,该人群MS的检出率为38.8%,其中男性40.7%、女性37.8%.结论 上海市社区中老年人群MS适宜腰围切点为男性≥85.0 cm、女性≥80.0 cm.

  10. Optimal Waist Circumference Cut-Off Point for Multiple Risk Factor Aggregation: Results from the Maracaibo City Metabolic Syndrome Prevalence Study

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    Valmore Bermúdez

    2014-01-01

    Full Text Available Context and Objective. The purpose of this study was to determine optimal waist circumference (WC cut-off values for the detection of multiple risk factor aggregation in individuals from Maracaibo, Venezuela. Participants and Methods. A total of 1,902 adult individuals of both genders belonging to MMSPS were included. Complete physical, laboratory, and anthropometric examination were done to evaluate Metabolic Syndrome (MS components and insulin resistance. ROC curves were plotted for risk factor aggregation in order to assess WC cut-off point. Logistic regression models were constructed to assess risk factors associated with the WC. Results. There were 52.2% females and 47.8% males, with WC of 90.7±13.7 cm and 98.2±15.9 cm, respectively. ROC curves exhibited a WC cut-off point for women of 90.25 cm (68.4% sensitivity, 65.8% specificity and 95.15 cm (71.1% sensitivity, 67.4% specificity for men. HOMA2-IR and high blood pressure were associated with a WC over these cut-off points, as well as 2.5-fold risk increase for multiple risk factor aggregation (OR 2.56; CI 95%: 2.05–3.20; P<0.01. Conclusions. These population-specific WC cut-offs are readily applicable tools for detection of risk factor aggregation. Insulin resistance is closely associated with this definition of abdominal obesity, which may serve as a surrogate for its assessment.

  11. Cut-Off Values of Visceral Adiposity to Predict NAFLD in Brazilian Obese Adolescents

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    Ana Paula Grotti Clemente

    2013-01-01

    Full Text Available Objectives. The present study aimed at determining cut-off points of visceral fat to predict NAFLD and analyzed metabolic disorders of obese adolescents. Methods. Cross-sectional study involved 165 obese adolescents ranged in age from 15 to 19 years. Glycemia, hepatic transaminases, lipid profile, and insulin resistance were analyzed. Visceral and subcutaneous fat were measured by ultrasound and body composition by plesthysmography. Results. The NAFLD adolescents had significantly higher values for body mass, BMI-for-age, BMI, total fat, waist circumference, and visceral fat when compared with non-NAFLD obese adolescents in both genders. Moreover, there were significant positive correlations between visceral fat with the variables BMI-for-age (r=0.325,, TG (r=0.277, AST (r=0.509, ALT (r=0.519, WC (r=0.390, and visceral/subcutaneous ratio (r=0.790 for NAFLD group. Total fat, triglycerides, and visceral fat were the independent predictors to NAFLD. Analysis of the ROC curves revealed cut-off points of visceral fat of 4.47 cm for girls and 4.21 cm for boys. Conclusions. The results may suggest that abdominal ultrasonography procedure may be a safe alternative method of assessing visceral adiposity aiming to be considered to the development of preventive and treatment strategies in obese individuals. This clinial trial is registered with ClinicalTrial.gov (NCT01358773.

  12. Epidemiological cut-off values for Flavobacterium psychrophilum MIC data generated by a standard test protocol

    DEFF Research Database (Denmark)

    Smith, P.; Endris, R.; Kronvall, G.;

    2016-01-01

    Epidemiological cut-off values were developed for application to antibiotic susceptibility data for Flavobacterium psychrophilum generated by standard CLSI test protocols. The MIC values for ten antibiotic agents against Flavobacterium psychrophilum were determined in two laboratories. For five...

  13. Establishing streptomycin epidemiological cut-off values for Salmonella and Escherichia coli. Microbial Drug Resistance

    NARCIS (Netherlands)

    Garcia-Migura, L.; Sunde, M.; Karlsmose, S.; Veldman, K.T.; Schroeter, A.; Guerra, B.; Granier, S.A.; Perrin-Guyomard, A.; Gicquel-Bruneau, M.; Franco, A.; Englund, S.; Teale, C.; Heiska, H.; Clemente, L.; Boerlin, P.; Moreno, M.A.; Daignault, D.; Mevius, D.J.; Hendriksen, R.S.; Aarestrup, F.M.

    2012-01-01

    This study was conducted to elucidate the accuracy of the current streptomycin epidemiological cut-off value (ECOFF) for Escherichia coli and Salmonella spp. A total of 236 Salmonella enterica and 208 E. coli isolates exhibiting MICs between 4 and 32¿mg/L were selected from 12 countries. Isolates we

  14. Cut-off values of blessed dementia rating scale and its clinical application in elderly Taiwanese.

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    Yang, Yuan-Han; Lai, Chiou-Lian; Lin, Ruey-Tay; Tai, Chih-Ta; Liu, Ching-Kuan

    2006-08-01

    Although the Blessed Dementia Rating Scale (BDRS), a clinical screening instrument, has been applied extensively, no suitable cut-off values and clinical application have been proposed, particularly in mild cognitive impairment (MCI), the precursor of dementia. The BDRS, Mini Mental State Examination (MMSE), and Clinical Dementia Rating Scale (CDR) were administrated in people aged 65 years and above, who were enrolled from southern Taiwan with multistep stratified random sampling and followed-up for 2 years. All subjects (total number = 3,027), with new onset of MCI (defined as CDR = 0.5) in the first year and dementia (defined as CDR > or = 1) in the second and third years were subjected to statistical analysis. In distinguishing normal from MCI, except in the literate group aged 65-74 years, MMSE was superior to BDRS, with cut-off values of 1 in both literate groups aged 65-74 years and > or = 75 years, and 1.5 and 2 in less educated groups aged 65-74 and > or = 75 years, respectively. In distinguishing MCI from dementia, BDRS had cut-off values of 2.5 in both literate groups aged 65-74 and > or = 75 years, and 2.5 and 3 in less educated groups aged 65-74 and > or = 75 years, respectively. These values were better than those for MMSE in all groups. BDRS might be considered as a better tool than MMSE to screen for MCI and dementia in the increasing proportion of literate elderly aged 65-74 years in the aging population. PMID:16911919

  15. Explaining the use of attribute cut-off values in decision making by means of involvement

    DEFF Research Database (Denmark)

    Peschel, Anne Odile; Grebitus, Carola; Colson, Gregory;

    2016-01-01

    evidence on consumers’ heterogeneous use of attribute cut-offs with a unique focus on the relationship with consumer involvement, a key component in consumer choice theory. Behavioral data from an online choice experiment on beef steak employing shelf simulations are combined with questions defining...... a latent class model identifies several key consumer segments (e.g., a price sensitive group) based on their choice behavior and reveals that the relationship between involvement, cut-off use and cut-off violations is not uniform across consumer segments....

  16. Susceptibility profile and epidemiological cut-off values of Cryptococcus neoformans species complex from Argentina.

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    Córdoba, Susana; Isla, Maria G; Szusz, Wanda; Vivot, Walter; Altamirano, Rodrigo; Davel, Graciela

    2016-06-01

    Epidemiological cut-off values (ECVs) based on minimal inhibitory concentration (MIC) distribution have been recently proposed for some antifungal drug/Cryptococcus neoformans combinations. However, these ECVs vary according to the species studied, being serotypes and the geographical origin of strains, variables to be considered. The aims were to define the wild-type (WT) population of the C. neoformans species complex (C. neoformans) isolated from patients living in Argentina, and to propose ECVs for six antifungal drugs. A total of 707 unique C. neoformans isolates obtained from HIV patients suffering cryptococcal meningitis were studied. The MIC of amphotericin B, flucytosine, fluconazole, itraconazole, voriconazole and posaconazole was determined according to the EDef 7.2 (EUCAST) reference document. The MIC distribution, MIC50 , MIC90 and ECV for each of these drugs were calculated. The highest ECV, which included ≥95% of the WT population modelled, was observed for flucytosine and fluconazole (32 μg ml(-1) each). For amphotericin B, itraconazole, voriconazole and posaconazole, the ECVs were: 0.5, 0.5, 0.5 and 0.06 μg ml(-1) respectively. The ECVs determined in this study may aid in identifying the C. neoformans strains circulating in Argentina with decreased susceptibility to the antifungal drugs tested. PMID:26865081

  17. Accuracy of Cameriere's cut-off value for third molar in assessing 18 years of age.

    Science.gov (United States)

    De Luca, S; Biagi, R; Begnoni, G; Farronato, G; Cingolani, M; Merelli, V; Ferrante, L; Cameriere, R

    2014-02-01

    Due to increasingly numerous international migrations, estimating the age of unaccompanied minors is becoming of enormous significance for forensic professionals who are required to deliver expert opinions. The third molar tooth is one of the few anatomical sites available for estimating the age of individuals in late adolescence. This study verifies the accuracy of Cameriere's cut-off value of the third molar index (I3M) in assessing 18 years of age. For this purpose, a sample of orthopantomographs (OPTs) of 397 living subjects aged between 13 and 22 years (192 female and 205 male) was analyzed. Age distribution gradually decreases as I3M increases in both males and females. The results show that the sensitivity of the test was 86.6%, with a 95% confidence interval of (80.8%, 91.1%), and its specificity was 95.7%, with a 95% confidence interval of (92.1%, 98%). The proportion of correctly classified individuals was 91.4%. Estimated post-test probability, p was 95.6%, with a 95% confidence interval of (92%, 98%). Hence, the probability that a subject positive on the test (i.e., I3Mage or older was 95.6%.

  18. Establishing Streptomycin Epidemiological Cut-Off Values for Salmonella and Escherichia coli

    DEFF Research Database (Denmark)

    Migura, Lourdes Garcia; Sunde, Marianne; Karlsmose, Susanne;

    2011-01-01

    This study was conducted to elucidate the accuracy of the current streptomycin epidemiological cut-off value (ECOFF) for Escherichia coli and Salmonella spp. A total of 236 Salmonella enterica and 208 E. coli isolates exhibiting MICs between 4 and 32 mg/L were selected from 12 countries. Isolates.......5% of the strains as belonging to the WT population, since this proportion of strains harbored resistance genes and exhibited MICs ≤32 mg/L. Out of 208 E. coli strains, 80 (38.5%) tested positive for aadA (n = 69), strA (n = 18), and strB (n = 31). Of the E. coli isolates exhibiting MICs of 4 mg/L, 8 mg/L, 16 mg....../L, and 32 mg/L, 3.6%, 17.6%, 53%, and 82.3%, respectively, harbored any of the three genes. Based on the European Committee on Antimicrobial Susceptibility Testing guidelines (ECOFF ≤16 mg/L), 25% of the E. coli strains presenting MIC ≤16 mg/L would have been incorrectly categorized as belonging to the WT...

  19. Azole susceptibility of Malassezia pachydermatis and Malassezia furfur and tentative epidemiological cut-off values.

    Science.gov (United States)

    Cafarchia, Claudia; Iatta, Roberta; Immediato, Davide; Puttilli, Maria Rita; Otranto, Domenico

    2015-09-01

    This study aims to determine the minimal inhibitory concentration (MIC) distribution and the epidemiological cut-off values (ECVs) of Malassezia pachydermatis and Malassezia furfur isolates for fluconazole (FLZ), itraconazole (ITZ), posaconazole (POS), and voriconazole (VOR). A total of 62 M. pachydermatis strains from dogs with dermatitis and 78 M. furfur strains from humans with bloodstream infections (BSI) were tested by a modified broth microdilution Clinical and Laboratory Standards Institute (CLSI) method. ITZ and POS displayed lower MICs than VOR and FLZ, regardless of the Malassezia species. The MIC data for azoles of M. pachydermatis were four two-fold dilutions lower than those of M. furfur. Based on the ECVs, about 94% of Malassezia strains might be categorized within susceptible population for all azoles, except for FLZ, and azole cross-resistance was detected in association with FLZ in M. pachydermatis but not in M. furfur.The study proposes, for the first time, tentative azole ECVs for M. pachydermatis and M. furfur for monitoring the emergence of isolates with decreased susceptibilities and shows that the azole MIC distribution varied according to the Malassezia species tested, thus suggesting the usefulness of determining the susceptibility profile for effective treatment of each species. PMID:26162472

  20. Cut-Off Value for Pain Sensitivity Questionnaire in Predicting Surgical Success in Patients with Lumbar Disc Herniation

    Science.gov (United States)

    Azimi, Parisa; Benzel, Edward C.

    2016-01-01

    Various factors related to predict surgical success were studied; however, a standard cut-off point for the Pain Sensitivity Questionnaire (PSQ) measure has not yet been established for a favorable surgical outcome for lumbar disc herniation (LDH). This study was to find the optimal cut-off point on the PSQ to distinguish surgical success in patients with LDH. A total of 154 patients with LDH consecutively referred to our clinic were enrolled into this prospective study between February 2011 and January 2014. All participants completed the PSQ. Patients completed the Oswestry Disability Index (ODI) score before surgery, and at 2 years after surgery. Surgical success was defined as a 13-point improvement from the baseline ODI scores. The cut-off value for PSQ was determined by the receiver-operating characteristic curve (ROC). The mean age of patients was 49.3±9.6 years, and there were 80 women. The mean time for follow-up assessment was 31±5 months (range 24–35). Post-surgical success was 79.9% (n = 123) at 2 years follow up. The mean score for the total PSQ, PSQ-minor, and PSQ-moderate were 6.0 (SD = 1.6), 5.4 (SD = 1.9) and 6.5 (SD = 1.7), respectively. Total PSQ score was also significantly correlated with the total scores of the ODI. The optimal total PSQ cut-off point was determined as > 5.2 to predict surgical success in LDH patients, with 80.0% sensitivity and 75.6% specificity (AUC-0.814, 95% CI 0.703–0.926). This study showed that the PSQ could be considered a parameter for predicting surgical success in patients with LDH, and can be useful in clinical practice. PMID:27494617

  1. Gestational Age-specific Cut-off Values Are Needed for Diagnosis of Subclinical Hypothyroidism in Early Pregnancy.

    Science.gov (United States)

    Kim, Hye Sung; Kim, Byoung Jae; Oh, Sohee; Lee, Da Young; Hwang, Kyu Ri; Jeon, Hye Won; Lee, Seung Mi

    2015-09-01

    During the first trimester of pregnancy, thyroid-stimulating hormone (TSH) >2.5 mIU/L has been suggested as the universal criterion for subclinical hypothyroidism. However, TSH levels change continuously during pregnancy, even in the first trimester. Therefore the use of a fixed cut-off value for TSH may result in a different diagnosis rate of subclinical hypothyroidism according to gestational age. The objective of this study was to obtain the normal reference range of TSH during the first trimester in Korean gravida and to determine the diagnosis rate of subclinical hypothyroidism using the fixed cut-off value (TSH >2.5 mIU/L). The study population consisted of pregnant women who were measured for TSH during the first trimester of pregnancy (n=492) and nonpregnant women (n=984). Median concentration of TSH in pregnant women was lower than in non-pregnant women. There was a continuous decrease of median TSH concentration during the first trimester of pregnancy (median TSH concentration: 1.82 mIU/L for 3+0 to 6+6 weeks; 1.53 mIU/L for 7+0 to 7+6 weeks; and 1.05 mIU/L for 8+0 to 13+6 weeks). Using the fixed cut-off value of TSH >2.5 mIU/L, the diagnosis rate of subclinical hypothyroidism decreased significantly according to the gestational age (GA) at TSH (25% in 3+0 to 6+6 weeks, 13% in 7+0 to 7+6 weeks, and 9% for 8+0 to 13+6 weeks, Phypothyroidism.

  2. Metabolic syndrome: no internationally defined standard cut-off value for waist circumference

    Institute of Scientific and Technical Information of China (English)

    Olabode Oladeinde

    2007-01-01

    @@ The metabolic syndrome (MS) is a cluster of interrelated risk factors of metabolic origin - metabolic risk factors that appear to directly promote the development of atherosclerotic cardiovascular disease and increase the risk of development of type 2 diabetes.

  3. Cut-off values of waist circumference to predict metabolic syndrome in obese adolescents.

    Science.gov (United States)

    Masquio, Deborah Cristina Landi; Ganen, Aline de Piano; Campos, Raquel Munhoz da Silveira; Sanches, Priscila de Lima; Corgosinho, Flávia Campos; Caranti, Danielle; Tock, Lian; de Mello, Marco Túlio; Tufik, Sergio; Dâmaso, Ana R

    2015-04-01

    Introducción: El síndrome metabólico es una constelación de alteraciones metabólicas relacionadas con la obesidad abdominal, la inflamación y la resistencia a la insulina, lo que aumenta las enfermedades cardiovasculares y la mortalidad. Los objetivos del presente estudio fueron determinar la prevalencia de comorbilidades y parámetros alterados en adolescentes obesos con y sin SM, y determinar los puntos de corte de la circunferencia de cintura para predecir SM. Métodos: 195 adolescentes obesos y se los dividió según síndrome metabólico diagnóstico basado en criterios de la IDF. Los análisis de sangre se midieron de glucosa, lípidos, enzimas hepáticas, la adiponectina y leptina. Resistencia a la insulina se evaluó mediante HOMA-IR, QUICKI y HOMA-AD. Se obtuvieron ecografía visceral, subcutánea y grasa hepática. La composición corporal se calcula por el sistema BOD POD. Resultados: Se observó una prevalencia del 25% de síndrome metabólico Mets (n = 50). El grupo grupo con síndrome metabólico presentó mayor masa corporal, índice de masa corporal, grasa corporal (kg), sin grasa masa significativa (kg), circunferencia de la cintura, la grasa visceral, la glucosa, la insulina, resistencia a la insulina, colesterol total, LDL-c, VLDL-c, triglicéridos, enzimas hepáticas, enfermedad no alcohólica del hígado graso (EHNA) y la presión arterial. Se observaron QUICKI significativamente menor y la adiponectina en el grupo con síndrome metabólico. El grupo con síndrome metabólico presentaron significativa proporción de leptina / adiponectina mayor en comparación con los que no tienen síndrome metabólico. Puntos de corte de 111,5 cm para los niños y 104,6 cm para las niñas de la circunferencia de cintura se sugirieron para predecir el síndrome metabólico. Además, la circunferencia de la cintura fue positivamente correlacionada con la grasa visceral y el número de parámetros del síndrome metabólico. Conclusión: El grupo con síndrome metabólico presentan alteraciones metabólicas significativas superiores e inflamación en comparación con el grupo sin síndrome metabólico. La circunferencia de cintura se considera un predictor medida antropométrica del síndrome metabólico en adolescentes obesos, siendo útil en la práctica clínica.

  4. The assessment of anorexia in patients with cancer: cut-off values for the FAACT–A/CS and the VAS for appetite

    OpenAIRE

    Blauwhoff-Buskermolen, S.; Ruijgrok, C.; Ostelo, R. W.; de Vet, H. C. W.; Verheul, H.M.W.; de van der Schueren, M. A. E.; Langius, J. A. E.

    2015-01-01

    Purpose Anorexia is a frequently observed symptom in patients with cancer and is associated with limited food intake and decreased quality of life. Diagnostic instruments such as the Anorexia/Cachexia Subscale (A/CS) of the Functional Assessment of Anorexia/Cachexia Therapy (FAACT) questionnaire and the visual analog scale (VAS) for appetite have been recommended in the assessment of anorexia, but validated cut-off values are lacking. This study aimed to obtain cut-off values of these instrum...

  5. Elevated d-dimer cut-off values for computed tomography pulmonary angiography—d-dimer correlates with location of embolism

    Science.gov (United States)

    Kubak, Mateuzs Piotr; Borthne, Arne; Ruud, Espen Asak; Ashraf, Haseem

    2016-01-01

    Background Acute pulmonary embolism (APE) is a potentially fatal condition, and making a timely diagnosis can be challenging. Computed tomography pulmonary angiography (CTPA) has become the modality of choice, and this contributes to the increasing load on emergency room CT scanners. Our purpose was to investigate whether an elevated d-dimer cut-off could reduce the demand for CTPA while maintaining a high sensitivity and negative predictive value (NPV). Methods We retrospectively reviewed all patients referred for CTPA with suspicion of APE in 2012, and collected d-dimer values and CTPA results. We investigated the diagnostic performance of d-dimer using a 0.5 mg/L cut-off and an age adjusted cut-off. We also evaluated a new and elevated cut-off. Cases were categorized according to their CTPA result into: no embolism, peripheral embolism, lobar embolism and central embolism. Finally we investigated a possible correlation between d-dimer values and location of embolism. Results We included 1,051 CTPAs, from which 216 (21%) showed pulmonary embolism. There were concomitant d-dimer analyses in 822 CTPA examinations. The current 0.5 mg/L cut-off achieved a sensitivity and NPV of 99%. The age-adjusted cut-off achieved a sensitivity and NPV of 98%, and our suggested cut-off of 0.9 mg/L achieved a sensitivity and NPV of 97%. Conclusions We conclude that the elevated d-dimer cut-off of 0.9 mg/L achieved a high sensitivity and NPV, while reducing the number of CTPA by 27%. The correlation between d-dimer values and location of embolisms supports the suggestion of an elevated d-dimer value. PMID:27386486

  6. Accuracy of cut-off value by measurement of third molar index: Study of a Colombian sample.

    Science.gov (United States)

    De Luca, Stefano; Aguilar, Lina; Rivera, Marcela; Palacio, Luz Andrea Velandia; Riccomi, Giulia; Bestetti, Fiorella; Cameriere, Roberto

    2016-04-01

    The aim of this cross-sectional study was to test the accuracy of cut-off value of 0.08 by measurement of third molar index (I3M) in assessing legal adult age of 18 years in a sample of Colombian children and young adults. Digital orthopantomographs of 288 Colombian children and young adults (163 girls and 125 boys), aged between 13 and 22 years, were analysed. Concordance correlation coefficient (ρc) and κ statistics (Cohen's Kappa coefficient) showed that repeatability and reproducibility are high for both intra- and inter-observer error. κ statistics for intra- and inter-observer agreement in decision on adult or minor was 0.913 and 0.877, respectively. Age distribution gradually decreases as I3M increases in both girls and boys. For girls, the sensitivity test was 95.1% (95% CI 87.1%-95%) and specificity was 93.8% (95% CI 87.1%-98.8%). The proportion of correctly classified individuals was 95.1%. For boys, the sensitivity test was 91.7% (95% CI 85.1%-96.8%) and specificity was 90.6% (95% CI 82.1%-97.8%). The proportion of correctly classified individuals was 89.7%. The cut-off value of 0.08 is highly useful to determine if a subject is 18 years of age or older or not. PMID:26898677

  7. Accuracy of a cut-off value based on the third molar index: Validation in an Australian population.

    Science.gov (United States)

    Franklin, Daniel; Karkhanis, Shalmira; Flavel, Ambika; Collini, Federica; DeLuca, Stefano; Cameriere, Roberto

    2016-09-01

    According to Recommendation N°196 of the Australian Law Reform Commission (ALRC), the age at which a child reaches adulthood for the purposes of criminal law should be 18 years in all Australian jurisdictions. With specific reference to age at majority, the only tooth with development spanning adolescence (and thus the legally relevant 18 years of age) is the third molar, which limits the number of methods that can be applied from those available in the published literature. The aim of the present study is to test the accuracy of the third molar index (I3M=0.08), based on the correlation between chronological age and normalized measures of the open apices and height of the third mandibular molar, in order to assess the legal adult age of 18 years. Digital orthopantomographs of 143 living Australian subjects (72 boys and 71 girls) are analyzed. The results demonstrate that the sensitivity is 0.90 in boys and 0.90 in girls; associated specificity values are 0.85 and 0.87 respectively. We conclude that the cut-off value of I3M=0.08 is statistically robust and thus valid for forensic application in an Australian population. PMID:27427495

  8. Accuracy of a cut-off value based on the third molar index: Validation in an Australian population.

    Science.gov (United States)

    Franklin, Daniel; Karkhanis, Shalmira; Flavel, Ambika; Collini, Federica; DeLuca, Stefano; Cameriere, Roberto

    2016-09-01

    According to Recommendation N°196 of the Australian Law Reform Commission (ALRC), the age at which a child reaches adulthood for the purposes of criminal law should be 18 years in all Australian jurisdictions. With specific reference to age at majority, the only tooth with development spanning adolescence (and thus the legally relevant 18 years of age) is the third molar, which limits the number of methods that can be applied from those available in the published literature. The aim of the present study is to test the accuracy of the third molar index (I3M=0.08), based on the correlation between chronological age and normalized measures of the open apices and height of the third mandibular molar, in order to assess the legal adult age of 18 years. Digital orthopantomographs of 143 living Australian subjects (72 boys and 71 girls) are analyzed. The results demonstrate that the sensitivity is 0.90 in boys and 0.90 in girls; associated specificity values are 0.85 and 0.87 respectively. We conclude that the cut-off value of I3M=0.08 is statistically robust and thus valid for forensic application in an Australian population.

  9. Optimal Elasticity cut-off value for discriminating Healthy to Pathological Fibrotic patients employing Fuzzy C-Means automatic segmentation in Liver Shear Wave Elastography images

    Science.gov (United States)

    Gatos, Ilias; Tsantis, Stavros; Skouroliakou, Aikaterini; Theotokas, Ioannis; Zoumpoulis, Pavlos S.; Kagadis, George C.

    2015-09-01

    The aim of the present study is to determine an optimal elasticity cut-off value for discriminating Healthy from Pathological fibrotic patients by means of Fuzzy C-Means automatic segmentation and maximum participation cluster mean value employment in Shear Wave Elastography (SWE) images. The clinical dataset comprised 32 subjects (16 Healthy and 16 histological or Fibroscan verified Chronic Liver Disease). An experienced Radiologist performed SWE measurement placing a region of interest (ROI) on each subject's right liver lobe providing a SWE image for each patient. Subsequently Fuzzy C-Means clustering was performed on every SWE image utilizing 5 clusters. Mean Stiffness value and pixels number of each cluster were calculated. The mean stiffness value feature of the cluster with maximum pixels number was then fed as input for ROC analysis. The selected Mean Stiffness value feature an Area Under the Curve (AUC) of 0.8633 with Optimum Cut-off value of 7.5 kPa with sensitivity and specificity values of 0.8438 and 0.875 and balanced accuracy of 0.8594. Examiner's classification measurements exhibited sensitivity, specificity and balanced accuracy value of 0.8125 with 7.1 kPa cutoff value. A new promising automatic algorithm was implemented with more objective criteria of defining optimum elasticity cut-off values for discriminating fibrosis stages for SWE. More subjects are needed in order to define if this algorithm is an objective tool to outperform manual ROI selection.

  10. Cerebrospinal fluid neopterin analysis in neuropediatric patients: establishment of a new cut off-value for the identification of inflammatory-immune mediated processes.

    Directory of Open Access Journals (Sweden)

    Marta Molero-Luis

    Full Text Available OBJECTIVE: A high level of cerebrospinal fluid (CSF neopterin is a marker of central nervous system inflammatory-immune mediated processes. We aimed to assess data from 606 neuropediatric patients, describing the clinical and biochemical features of those neurological disorders presenting CSF neopterin values above a new cut-off value that was defined in our laboratory. METHODS: To establish the new CSF neopterin cut-off value, we studied two groups of patients: Group 1 comprised 68 patients with meningoencephalitis, and Group 2 comprised 52 children with a confirmed peripheral infection and no central nervous system involvement. We studied 606 CSF samples from neuropediatric patients who were classified into 3 groups: genetic diagnosis (A, acquired/unknown etiologic neurologic diseases (B and inflammatory-immune mediated processes (C. RESULTS: The CSF neopterin cut-off value was 61 nmol/L. Out of 606 cases, 56 presented a CSF neopterin level above this value. Group C had significantly higher CSF neopterin, protein and leukocyte values than the other groups. Sixteen of twenty-three patients in this group had a CSF neopterin level above the cut-off, whereas three and seven patients presented increased leukocyte and protein values, respectively. A significant association was found among CSF neopterin, proteins and leukocytes in the 606 patients. White matter disturbances were associated with high CSF neopterin concentrations. CONCLUSIONS: Although children with inflammatory-immune mediated processes presented higher CSF neopterin values, patients with other neurological disorders also showed increased CSF neopterin concentrations. These results stress the importance of CSF neopterin analysis for the identification of inflammatory-immune mediated processes.

  11. Prediction of subacute infarct lesion volumes by processing apparent diffusion coefficient maps based on apparent diffusion coefficient cut-off values in patients with acute stroke

    Institute of Scientific and Technical Information of China (English)

    郭翔

    2014-01-01

    Objective To explore the feasibility of prediction of subacute infarct lesion volumes by processing ADC maps based on ADC cut-off values in patients with acute stroke.Methods MRI was performed in 20 patients with clinically diagnosed acute infarct less than 6 h after stroke onset.The MRI included a DWI and conventional MRI.The follow-up MR examinations of all the patients

  12. Diagnostic accuracy of deep vein thrombosis is increased by analysis using combined optimal cut-off values of postoperative plasma D-dimer levels

    Science.gov (United States)

    JIANG, YONG; LI, JIE; LIU, YANG; ZHANG, WEIGUO

    2016-01-01

    The present study aimed to evaluate the accuracy of analysis using optimal cut-off values of plasma D-dimer levels in the diagnosis of deep vein thrombosis (DVT). A total of 175 orthopedic patients with DVT and 162 patients without DVT were included in the study. Ultrasonic color Doppler imaging was performed on lower limb veins prior to and following orthopedic surgery in order to determine the types of orthopedic conditions that were present. An enzyme-linked fluorescent assay was performed to detect the expression levels of D-dimer in plasma, and receiver operating characteristic analysis was performed to predict the occurrence of DVT on the basis of the expression levels of D-dimer. After surgery, the expression levels of D-dimer in the plasma of DVT patients were significantly higher in comparison with those in orthopedic patients without DVT (P<0.05). When the patients were divided into subgroups according to the underlying orthopedic condition, the expression levels of D-dimer in the plasma of each subgroup were higher 1 day after orthopedic surgery in comparison to those prior to surgery (P<0.05). The diagnostic accuracy achieved using combined optimal cut-off values at 1 and 3 days post-surgery was significantly higher than the accuracy when using a single optimal cut-off value (P<0.05). In conclusion, detection of D-dimer expression levels at 1 day post-orthopedic surgery may be important in predicting DVT. In addition, the diagnostic accuracy of DVT is significantly increased by analysis using combined optimal cut-off values of D-dimer plasma expression levels. PMID:27168793

  13. Determination of Diastolic Dysfunction Cut-Off Value by Tissue Doppler Imaging in Adults 70 Years of Age or Older: A Comparative Analysis of Pulsed-Wave and Color-Coded Tissue Doppler Imaging

    OpenAIRE

    Baek, Hee-Kyung; Park, Tae-Ho; Park, Sun-Yi; Kim, Jung-Hwan; Seo, Jeong-Min; Kim, Woo-Jae; Nam, Young-Hee; Kim, Moo-Hyun; Kim, Young-Dae

    2011-01-01

    Background and Objectives The cut-off value of diastolic dysfunction by tissue Doppler imaging (TDI) is affected by aging and modalities used (pulsed-wave vs. color-coded). The purpose of this study was to investigate the diastolic function of healthy elderly people and to determine the appropriate cut-off value of diastolic dysfunction in elderly individuals. Subjects and Methods Healthy volunteers (n=76) and patients with hypertension (n=51) aged ≥70 years underwent 2-dimensional and Dopple...

  14. The optimum cut-off value to differentiate Echinococcus granulosus sensu stricto from other species of E. granulosus sensu lato using larval rostellar hook morphometry.

    Science.gov (United States)

    Soriano, S V; Pierangeli, N B; Pianciola, L A; Mazzeo, M; Lazzarini, L E; Debiaggi, M F; Bergagna, H F J; Basualdo, J A

    2015-01-01

    Cystic echinococcosis caused by Echinococcus granulosus sensu lato is one of the most important helminth zoonoses in the world; it affects both humans and livestock. The disease is endemic in Argentina and highly endemic in the province of Neuquén. Considerable genetic and phenotypic variation has been demonstrated in E. granulosus, and ten different genotypes (G1-G10) have been identified using molecular tools. Echinococcus granulosus sensu lato may be considered a species complex, comprised of E. granulosus sensu stricto (G1-G3), E. equinus (G4), E. ortleppi (G5) and E. canadensis (G6-G10). In endemic areas, the characterization of cystic echinococcosis molecular epidemiology is important in order to apply adequate control strategies. A cut-off value for larval large hook total length to distinguish E. granulosus sensu stricto isolates from those produced by other species of the complex was defined for the first time. Overall, 1780 larval hooks of 36 isolates obtained from sheep (n= 11, G1), goats (n= 10, G6), cattle (n= 5, G6) and pigs (n= 10, G7) were analysed. Validation against molecular genotyping as gold standard was carried out using the receiver operating characteristic (ROC) curve analysis. The optimum cut-off value was defined as 26.5 μm. The proposed method showed high sensitivity (97.8%) and specificity (91.1%). Since in most endemic regions the molecular epidemiology of echinococcosis includes the coexistence of the widely distributed E. granulosus sensu stricto G1 strain and other species of the complex, this technique could be useful as a quick and economical tool for epidemiological and surveillance field studies, when fertile cysts are present.

  15. Antimicrobial susceptibility testing of Clostridium difficile using EUCAST epidemiological cut-off values and disk diffusion correlates

    DEFF Research Database (Denmark)

    Erikstrup, L T; Hall, Vanessa Jane; Kahlmeter, G;

    2012-01-01

    Clin Microbiol Infect ABSTRACT: With the emergence of reduced susceptibility of Clostridium difficile to metronidazole and vancomycin the value of antimicrobial susceptibility testing has increased. The aim of our study was to evaluate disk diffusion for susceptibility testing of C. difficile by ......Clin Microbiol Infect ABSTRACT: With the emergence of reduced susceptibility of Clostridium difficile to metronidazole and vancomycin the value of antimicrobial susceptibility testing has increased. The aim of our study was to evaluate disk diffusion for susceptibility testing of C...... University Hospitals, Denmark. Furthermore, ten clinical isolates of C. difficile from the Anaerobe Reference Laboratory, University Hospital of Wales, with known reduced susceptibility to either metronidazole or vancomycin, were included. Isolates were tested with Etest gradient strips and disk diffusion...... towards metronidazole, vancomycin and moxifloxacin on Brucella Blood Agar supplemented with hemin and vitamin K. We found an excellent agreement between inhibition zone diameter and MICs. For each MIC value, the inhibition zones varied from 0 to 8 mm, with 93% of values within 6 mm for metronidazole, 95...

  16. Evaluation of epidemiological cut-off values indicates that biocide resistant subpopulations are uncommon in natural isolates of clinically-relevant microorganisms.

    Directory of Open Access Journals (Sweden)

    Ian Morrissey

    Full Text Available To date there are no clear criteria to determine whether a microbe is susceptible to biocides or not. As a starting point for distinguishing between wild-type and resistant organisms, we set out to determine the minimal inhibitory concentration (MIC and minimal bactericidal concentration (MBC distributions for four common biocides; triclosan, benzalkonium chloride, chlorhexidine and sodium hypochlorite for 3319 clinical isolates, with a particular focus on Staphylococcus aureus (N = 1635 and Salmonella spp. (N = 901 but also including Escherichia coli (N = 368, Candida albicans (N = 200, Klebsiella pneumoniae (N = 60, Enterobacter spp. (N = 54, Enterococcus faecium (N = 53, and Enterococcus faecalis (N = 56. From these data epidemiological cut-off values (ECOFFs are proposed. As would be expected, MBCs were higher than MICs for all biocides. In most cases both values followed a normal distribution. Bimodal distributions, indicating the existence of biocide resistant subpopulations were observed for Enterobacter chlorhexidine susceptibility (both MICs and MBCs and the susceptibility to triclosan of Enterobacter (MBC, E. coli (MBC and MIC and S. aureus (MBC and MIC. There is a concern on the potential selection of antibiotic resistance by biocides. Our results indicate however that resistance to biocides and, hence any potential association with antibiotic resistance, is uncommon in natural populations of clinically relevant microorganisms.

  17. Cut off values of laser fluorescence for different storage methods at different time intervals in comparison to frozen condition: A 1 year in vitro study

    Directory of Open Access Journals (Sweden)

    Rudra Kaul

    2014-01-01

    Full Text Available Aims: The aim of the following study is to evaluate the change in laser fluorescence (LF values for extracted teeth stored in different solutions over 1 year period, to give cut-off values for different storage media at different time intervals to get them at par with the in vivo conditions and to see which medium gives best results with the least change in LF values and while enhancing the validity of DIAGNOdent in research. Materials and Methods: Ninety extracted teeth selected, from a pool of frozen teeth, were divided into nine groups of 10 each. Specimens in Groups 1-8 were stored in 1% chloramine, 10% formalin, 10% buffered formalin, 0.02% thymol, 0.12% chlorhexidine, 3% sodium hypochlorite, a commercially available saliva substitute-Wet Mouth (ICPA Pharmaceuticals and normal saline respectively at 4°C. The last group was stored under frozen condition at −20°C without contact with any storage solution. DIAGNOdent was used to measure the change the LF values at day 30, 45, 60, 160 and 365. Statistical Analysis Used: The mean change in LF values in different storage mediums at different time intervals were compared using two-way ANOVA. Results: At the end of 1 year, significant decrease in fluorescence (P < 0.05 was observed in Groups 1-8. Maximum drop in LF values occurred between day 1 and 30. Group 9 (frozen specimens did not significantly change their fluorescence response. Conclusions: An inevitable change in LF takes place due to various storage media commonly used in dental research at different time intervals. The values obtained from our study can remove the bias caused by the storage media and the values of LF thus obtained can hence be conveniently extrapolated to the in vivo condition.

  18. Suggested cut-off values for vitamin D as a risk marker for total and cardiac death in patients with suspected acute coronary syndrome

    Directory of Open Access Journals (Sweden)

    Patrycja Anna Naesgaard

    2016-02-01

    Full Text Available Background: Several studies have demonstrated an association between low vitamin D levels and cardiovascular risk. Vitamin D cut off levels are still under debate. Objectives: To assess two cut-off levels, 40 nmol/L and 70 nmol/L, respectively, for vitamin D measured as 25-hydroxyvitamin D [25(OHD] in chest pain patients with suspected acute coronary syndrome.Methods: We investigated 1853 patients from coastal-Norway and inland Northern-Argentina. A similar database was used for pooling of data. 2-year follow-up data including all-cause mortality, cardiac death and sudden cardiac death in the total patient population were analyzed, applying univariate and multivariable analysis. Results: 255 patients with known vitamin D concentrations died. In the multivariable analysis, there was a decrease in total mortality above a cut-off level of 40 nmol/L and a decrease in cardiac death above a cut-off level of 70 nmol/L, [HRs of 0.66 (95% CI, 0.50 – 0.88, p = 0.004 and 0.46 (95% CI, 0.22 – 0.94, p = 0.034, respectively].Conclusion: Vitamin D cut-off levels of 40 nmol/L and 70 nmol/L, were related to total mortality and cardiac death, respectively.

  19. BMI, Waist Circumference Reference Values for Chinese School-Aged Children and Adolescents

    Science.gov (United States)

    Song, Peige; Li, Xue; Gasevic, Danijela; Flores, Ana Borges; Yu, Zengli

    2016-01-01

    Background: Childhood obesity has become one of the most serious public health challenges in the 21st century in most developing countries. The percentile curve tool is useful for monitoring and screening obesity at population level, however, in China, no official recommendations on childhood body mass index (BMI) and waist circumference (WC) reference percentiles have been made in practice. Aims: to construct the percentile reference values for BMI and WC, and then to calculate the prevalence of overall and abdominal obesity for Chinese children and adolescents. Methods: A total of 5062 anthropometric records for children and adolescents aged from 7 to 18 years (2679 boys and 2383 girls) were included for analysis. The participants were recruited as part of the national representative “China Health and Nutrition Survey” (CHNS). Age, gender, weight, height, and WC were assessed. Smoothed BMI and WC percentile curves and values for the 3rd, 5th, 10th, 15th, 25th, 50th, 75th, 85th, 90th, 95th and 97th percentiles were constructed by using the Lambda-Mu-Sigma (LMS) method. The prevalence estimates of the overall and abdominal obesity were calculated by using the cut-offs from our CHNS study and the previous “Chinese National Survey on Students’ Constitution and Health” (CNSSCH) study, respectively. The difference between prevalence estimates was tested by a McNemar test, and the agreement between these prevalence estimates was calculated by using the Cohen’s kappa coefficient. Results: The prevalence values of overall obesity based on the cut-offs from CHNS and CNSSCH studies were at an almost perfect agreement level in boys (κ = 0.93). However, among girls, the overall obesity prevalence differed between the studies (p children and adolescents aged 7–18 years, which can be adopted in future researches. Large longitudinal study is still needed to reveal the childhood growth pattern and validate the inconsistence between different percentile studies

  20. Waterlow量表对重症患者压疮的预测价值及诊断界值分析%Predictive Value of Waterlow Scale for Pressure Ulcers for Critically Ill Patients and Its Cut-off Value

    Institute of Scientific and Technical Information of China (English)

    李晓艳; 赵小利; 韩娟; 石秦东; 李昊

    2015-01-01

    目的:界定Waterlow量表对重症患者压疮的预测价值及诊断界值。方法回顾性分析765例重症患者的压疮风险评估资料,使用受试者工作特征(ROC)曲线评价Waterlow量表的预测性能和最佳诊断界值。结果由ROC分析结果可知,Waterlow评分曲线下面积为0.694,与0.5相比,具有统计学意义(P<0.01)。 Waterlow量表分界值为20分时,其灵敏度(0.880)、特异度(0.480)具有最好的平衡性。结论 Waterlow量表在预测重症患者压疮中具有较高的灵敏度和特异度,可将分界值提高至20分。%Objective To explore the predictive value of Waterlow scale for pressure ulcers for critically ill patients and its cut-off value. Methods A retrospective analysis of evaluation data of pressure ulcer risk of 765 critically ill inpatients was conducted and predictive value and cut-off value of Waterlow scale was assessed by ROC (Receiver Operating Characteristic). Results ROC indicated that the area under curve was 0.694, which showed statistical significance ( P<0.01). When cut-off value of Waterlow sacle reached 20, the sensitivity (0.880) and specificity (0.480) of the scale reached a good balance. Conclusion Waterlow scale has high sensitivity and specificity in predicting pressure ulcers for critically ill patients and its cut-off value could be raised to 20.

  1. Exploration of cut-off value of TSH during screening of congenital hypothyroidism in the newborns%新生儿先天性甲状腺功能减退症筛查中TSH切值的探讨

    Institute of Scientific and Technical Information of China (English)

    陈肖肖; 秦玉峰; 曲一平; 毛华庆; 施玉华; 赵正言

    2008-01-01

    新生儿筛查中发现,TSH水平与先天性甲状腺功能减退症(CH)检出率呈直线正相关.当TSH切值点分别为9、10、15和20 mU/L时,CH阳性检测敏感度分别 99.77%、96.80%、81.25%和71.88%.TSH>9 mU/L是较好的切点.%Positive linear correlation was found between TSH level and detection rate of congenital hypothyroidism (CH). When measured with a cut-off point at 9, 10, 15 and 20 mU/L of TSH, the sensitivity of positive detection rate for CH was 99.77%, 96.80%, 81.25% and 71.88%, respectively. TSH > 9 mU/L seems to be a reasonable cut-off value.

  2. Which are the cut-off values of 2D-Shear Wave Elastography (2D-SWE) liver stiffness measurements predicting different stages of liver fibrosis, considering Transient Elastography (TE) as the reference method?

    Energy Technology Data Exchange (ETDEWEB)

    Sporea, Ioan, E-mail: isporea@umft.ro; Bota, Simona, E-mail: bota_simona1982@yahoo.com; Gradinaru-Taşcău, Oana, E-mail: bluonmyown@yahoo.com; Şirli, Roxana, E-mail: roxanasirli@gmail.com; Popescu, Alina, E-mail: alinamircea.popescu@gmail.com; Jurchiş, Ana, E-mail: ana.jurchis@yahoo.com

    2014-03-15

    Introduction: To identify liver stiffness (LS) cut-off values assessed by means of 2D-Shear Wave Elastography (2D-SWE) for predicting different stages of liver fibrosis, considering Transient Elastography (TE) as the reference method. Methods: Our prospective study included 383 consecutive subjects, with or without hepatopathies, in which LS was evaluated by means of TE and 2D-SWE. To discriminate between various stages of fibrosis by TE we used the following LS cut-offs (kPa): F1-6, F2-7.2, F3-9.6 and F4-14.5. Results: The rate of reliable LS measurements was similar for TE and 2D-SWE: 73.9% vs. 79.9%, p = 0.06. Older age and higher BMI were associated for both TE and 2D-SWE with the impossibility to obtain reliable LS measurements. Reliable LS measurements by both elastographic methods were obtained in 65.2% of patients. A significant correlation was found between TE and 2D-SWE measurements (r = 0.68). The best LS cut-off values assessed by 2D-SWE for predicting different stages of liver fibrosis were: F ≥ 1: >7.1 kPa (AUROC = 0.825); F ≥ 2: >7.8 kPa (AUROC = 0.859); F ≥ 3: >8 kPa (AUROC = 0.897) and for F = 4: >11.5 kPa (AUROC = 0.914). Conclusions: 2D-SWE is a reliable method for the non-invasive evaluation of liver fibrosis, considering TE as the reference method. The accuracy of 2D-SWE measurements increased with the severity of liver fibrosis.

  3. Anti-mullerian hormone cut-off values for predicting poor ovarian response to exogenous ovarian stimulation in in-vitro fertilization

    Directory of Open Access Journals (Sweden)

    Ruma Satwik

    2012-01-01

    Full Text Available Objectives: (a To establish the cut-off levels for anti-Mullerian hormone (AMH in a population of Indian women that would determine poor response. (b To determine which among the three ie.,: age, follicle stimulating hormone (FSH, or AMH, is the better determinant of ovarian reserve. Study Design: Prospective observational study. Setting: In vitro fertilization (IVF unit of a tertiary hospital. Materials and Methods: The inclusion criterion was all women who presented to the center for in-vitro fertilization/Intracytoplasmic sperm injection (IVF/ICSI. The exclusion criteria were age >45 years, major medical illnesses precluding IVF or pregnancy, FSH more than 20 IU/L, and failure to obtain consent. The interventions including baseline pelvic scan, day 2/3 FSH, luteinizing hormone (LH, estradiol estimations, and AMH measurement on any random day of cycle were done. Subjects underwent IVF according to long agonist or antagonist protocol regimen. Oocyte recovery was correlated with studied variables. The primary outcome measure was the number of oocytes aspirated (OCR. Three categories of ovarian response were defined: poor response, OCR ≤ 3; average response, OCR between 4 and 15; hyperresponse, OCR > 15. Results: Of the 198 patients enrolled, poor, average, and hyperresponse were observed in 23%, 63%, and 14% respectively. Correlation coefficient for AMH with ovarian response was r = 0.591. Area under the curve (AUCs for poor response for AMH, subject′s age, and FSH were 0.768, 0.624, and 0.635, respectively. The discriminatory level of AMH for prediction of absolute poor response was 2 pmoL/l, with 98% specificity and 20% sensitivity. Conclusions: AMH fares better than age and FSH in predicting the overall ovarian response and poor response, though it cannot be the absolute predictor of non-responder status. A level of 2 pmol/l is discriminatory for poor response.

  4. Human papillomavirus testing in primary cervical screening and the cut-off level for hybrid capture 2 tests

    DEFF Research Database (Denmark)

    Rebolj, Matejka; Bonde, Jesper; Njor, Sisse Helle;

    2011-01-01

    To determine the trade-off between the sensitivity and the specificity for high grade cervical intraepithelial neoplasia at hybrid capture 2 cut-off values above the standard = 1 relative light units/cut-off level (rlu/co)....

  5. Defining a BMI Cut-Off Point for the Iranian Population: The Shiraz Heart Study.

    Science.gov (United States)

    Babai, Mohammad Ali; Arasteh, Peyman; Hadibarhaghtalab, Maryam; Naghizadeh, Mohammad Mehdi; Salehi, Alireza; Askari, Alireza; Homayounfar, Reza

    2016-01-01

    specificity of 69% and 62%, respectively. This cut-off had a positive predictive value of 54% and a negative predictive value of 76%. When we excluded waist circumference, the optimum BMI cut-off for acquiring metabolic risk factors in males decreased to 25.7 kg/m2 (Acc = 67%) and increased for women to 27.05 kg/m2 (Acc = 66%). Iranians are at higher risks of morbidity related to metabolic factors at a lower BMI cut-off and prompt action and preventive health policy are required to prevent and educate Iranians regarding diseases associated with obesity. PMID:27509026

  6. The cut-off value of waist-to-height ratio in detecting central obesity in Chinese adult population%中国成人中心性肥胖腰围身高比值的适宜切点的研究

    Institute of Scientific and Technical Information of China (English)

    赵连成; 李莹; 彭亚光; 张林峰; 郭敏; 武阳丰

    2012-01-01

    to detect clustering of risk factors cluster in male, female and the whole population were 0. 49, 0. 50, and 0. 49, respectively. Keeping WHtR less than 0. 50 could prevent about 2/5 hypertension, 1/5 abnormal glucose and high TC, 1/3 low HDL-C, and one half clustering of risk factors. Conclusions WHtR≥0. 50 could be the optimal cut-off value for detecting central obesity in Chinese adult population. "Keep waist circumference half of your height" should be the target of control central obesity to prevent cardiovascular diseases.

  7. 四川省新生儿 CH筛查切值的探讨%Exploration of cut-off value of TSH during screening of congenital hypothyroidism in the newborns in Sichuan

    Institute of Scientific and Technical Information of China (English)

    周婧瑶; 欧明才; 罗晓菊; 张钰; 胡琦; 陈雪莲; 杨丽娟; 王蕊; 李婷

    2013-01-01

    目的:探讨四川省新生儿疾病筛查中心实验室先天性甲状腺功能减低症( CH)筛查切值,减少漏诊率,降低假阳性率。方法对四川省新生儿疾病筛查中心片区市县2011至2012年活产婴儿出生72小时并充分哺乳6次后取其足跟血,采用时间分辨荧光免疫法检测血中促甲状腺激素( TSH)浓度。结果2011至2012年度共测定525941例标本,其TSH浓度呈偏态分布,其中正常新生儿人数为525554,确诊CH患儿230例,高TSH血症患儿157例。当筛查切值定为8.0mIU/L和定为8.9mIU/L时,灵敏度χ2=10.188,P<0.05;特异度χ2=458.460,P<0.05,制定出四川省新生儿疾病筛查中心实验室时间分辨荧光免疫法筛查CH参考切值为8.0mIU/L。结论四川省新生儿疾病筛查中心制定的CH筛查切值是适宜的、有依据的,为更大规模开展的新生儿CH筛查提供了决策依据。%Objective To explore the positive cut-off value in neonatal screening for congenital hypothyroidism (CH) in the Centre of Neonatal Screening of Sichuan , so as to improve screening efficiency and reduce false positive rate .Methods DELFIA was applied to detect the concentration of thyroid-stimulating hormone ( TSH) in heel blood samples which were collected from the newborns 72 hours after birth and having drunk enough milk for at least 6 times.These neonates were born in 2011-2012 in counties and cities managed by the Centre of Neonatal Screening of Sichuan .Results Totally 525 941 blood samples were screened . The TSH concentration showed a skewed distribution .Among them 525 554 newborns were normal , 230 neonates were diagnosed with CH , and 157 with high TSH hyperlipidemia . When the positive cut-off value was 8.0mIU/L and 8.9mIU/L, the sensitivity χ2 was 10.188 ( P <0.05 ) and the specificity χ2 was 458.460 (P<0.05).The cut-off value of screening was 8.0mIU/L by DELFIA in the Centre of Neonatal Screening of Sichuan

  8. Pressurized liquid extraction for the determination of cannabinoids and metabolites in hair: Detection of cut-off values by high performance liquid chromatography-high resolution tandem mass spectrometry.

    Science.gov (United States)

    Montesano, Camilla; Simeoni, Maria Chiara; Vannutelli, Gabriele; Gregori, Adolfo; Ripani, Luigi; Sergi, Manuel; Compagnone, Dario; Curini, Roberta

    2015-08-01

    Hair analysis has become a routine procedure in most forensic laboratories since this alternative matrix presents clear advantages over classical matrices; particularly wider time window, non-invasive sampling and good stability of the analytes over time. There are, however, some major challenges for the analysis of cannabinoids in hair, mainly related to the low concentrations of 11-nor-9-carboxy-Δ(9)-tetrahydrocannabinol (THC-COOH), that is the major metabolite. In this study a fast, accurate and sensitive method for the determination of cannabinol, cannabidiol, THC and THC-COOH in hair has been developed. The extraction of analytes from hair (50mg) is based on an automated pressurized liquid extraction (PLE) using water modified with the surfactant sodium dodecyl sulphate as eluent phase. PLE extract is then cleaned up by SPE using polymeric reversed phase cartridges Strata XL before the injection in the HPLC-HRMS/MS system. Chromatographic conditions obtained with a fused-core column allowed a good separation of the analytes in less than 4min. The whole procedure has been validated according to SWGTOX guidelines. The LLOQs obtained for THC-COOH and the other analytes were respectively 0.1 and 2pg/mg. To the best of our knowledge, this is the first LC-MS/MS based method that allows the detection of THC-COOH in hair at values lower than the cut-off. PMID:26118805

  9. Comparison of VerifyNow-P2Y12 test and Flow Cytometry for monitoring individual platelet response to clopidogrel. What is the cut-off value for identifying patients who are low responders to clopidogrel therapy?

    Directory of Open Access Journals (Sweden)

    Castelli Alfredo

    2009-05-01

    Full Text Available Abstract Background Dual anti-platelet therapy with aspirin and a thienopyridine (DAT is used to prevent stent thrombosis after percutaneous coronary intervention (PCI. Low response to clopidogrel therapy (LR occurs, but laboratory tests have a controversial role in the identification of this condition. Methods We studied LR in patients with stable angina undergoing elective PCI, all on DAT for at least 7 days, by comparing: 1 Flow cytometry (FC to measure platelet membrane expression of P-selectin (CD62P and PAC-1 binding following double stimulation with ADP and collagen type I either in the presence of prostaglandin (PG E1; 2 VerifyNow-P2Y12 test, in which results are reported as absolute P2Y12-Reaction-Units (PRU or % of inhibition (% inhibition. Results Thirty controls and 52 patients were analyzed. The median percentage of platelets exhibiting CD62P expression and PAC-1 binding by FC evaluation after stimulation in the presence of PG E1 was 25.4% (IQR: 21.4–33.1% and 3.5% (1.7–9.4%, respectively. Only 6 patients receiving DAT (11.5% had both values above the 1st quartile of controls, and were defined as LR. Evaluation of the same patients with the VerifyNow-P2Y12 test revealed that the area under the receiver-operating-characteristic (ROC curve was 0.94 (95% CI: 0.84–0.98, p 213 PRU gave the maximum accuracy for the detection of patients defined as having LR by FC. Conclusion In conclusion our findings show that a cut-off value of ≤ 15% inhibition or > 213 PRU in the VerifyNow-P2Y12 test may provide the best accuracy for the identification of patients with LR.

  10. Determination of a saliva cotinine cut-off to distinguish pregnant smokers from pregnant non-smokers

    DEFF Research Database (Denmark)

    Hegaard, Hanne K; Kjaergaard, Hanne; Møller, Lars F;

    2007-01-01

    Objective validation of smoking status is necessary. Earlier studies have used saliva cotinine concentrations between 14.2 and 30 ng/ml as cut-off values to distinguish pregnant smokers from non-smokers. However, these cut-offs derive from studies including men and non-pregnant women. This consti......Objective validation of smoking status is necessary. Earlier studies have used saliva cotinine concentrations between 14.2 and 30 ng/ml as cut-off values to distinguish pregnant smokers from non-smokers. However, these cut-offs derive from studies including men and non-pregnant women...

  11. The acoustic cut-off frequency of the Sun and the solar magnetic activity cycle

    CERN Document Server

    Jimenez, A; Palle, P L

    2011-01-01

    The acoustic cut-off frequency -the highest frequency for acoustic solar eigenmodes- is an important parameter of the solar atmosphere as it determines the upper boundary of the p-mode resonant cavities. At frequencies beyond this value, acoustic disturbances are no longer trapped but traveling waves. Interference amongst them give rise to higher-frequency peaks -the pseudomodes- in the solar acoustic spectrum. The pseudomodes are shifted slightly in frequency with respect to p modes making possible the use of pseudomodes to determine the acoustic cut-off frequency. Using data from GOLF and VIRGO instruments on board the SOHO spacecraft, we calculate the acoustic cut-off frequency using the coherence function between both the velocity and intensity sets of data. By using data gathered by these instruments during the entire lifetime of the mission (1996 till the present), a variation in the acoustic cut-off frequency with the solar magnetic activity cycle is found.

  12. 吉林省新生儿先天性甲状腺功能减低症筛查切值研究%A research on cut off value of thyroid stimulating hormone for newborn congenital hypothyroidism screening in Jilin province

    Institute of Scientific and Technical Information of China (English)

    万立新; 张雯艳; 刘颖; 郝鹏楷; 赵迅; 张桂荣

    2013-01-01

    目的 建立吉林省新生儿先天性甲状腺功能减低症(CH)筛查TSH实验切值.方法 新生儿出生72 h后,并充分哺乳,采集足跟血滴于专用滤纸上,采用时间分辨荧光免疫分析方法,检测滤纸干血片TSH浓度.结果 测定新生儿足跟血TSH共计30 000例,确定本实验室新生儿TSH切值为9.0 mIU/L.结论 TSH切值为9.0 mIU/L是适合吉林省实际情况的.TSH切值的确定为吉林省今后开展大规模的新生儿CH筛查提供了依据.%Objective To determine cut off value of thyroid stimulating hormone (TSH) for screening of congenital hypothyroidism (CH) of newborn in Jilin province.Methods The foot blood samples were obtained at 72 hours after birth and sufficient breast feeding to detect the content of TSH.Results 30 000 neonates were screened,the cut off value of TSH for screening of congenital hypothyroidism of newborn in Jilin was 9.0 mIU/L.Conclusion The TSH cut off value was adjusted to 9.0 mIU/L.The determination of TSH cut off value provided a basis for screening of congenital hypothyroidism among the newborns in Jilin.

  13. Chest and occipito-frontal circumference measurements in the detection of low birth weight among Nigerian newborns of Igbo ethnicity

    OpenAIRE

    Ndu, Ikenna K; Ibeziako, Stella N; Obidike, Egbuna O; Adimora, Gilbert N.; Edelu, Benedict O.; Chinawa, Josephat M.; Asinobi, Isaac N; Uleanya, Nwachinemere D

    2014-01-01

    Background The World Health Organisation has recommended the use of anthropometric measurements as birth weight surrogates. However, it has been found that cut-off points for these anthropometric measurements vary across nations and ethnic groups. Objectives To determine the predictive values of chest circumference (CC), occipito-frontal circumference (OFC) and their combinations for low birth weight (LBW) detection in Igbo newborns. Methods Live newborns of Igbo origin were recruited within ...

  14. Effect of copper slag recovery on hydrometallurgical cut-off grades considering environmental aspects

    Institute of Scientific and Technical Information of China (English)

    AFSHIN AKBARI; ESMAEIL RAHIMI

    2016-01-01

    Determining the hydrometallurgical cut-off grades specifies the destination of low grade materials and this is subjected to more benefits in mining. Copper production rate is considered as one of the fundamental issues in hydrometallurgical cut-off grades determination. Slags are remarked as one of the main sources of copper. It is not only regarded as a waste but also identified as another resource extracting base metals. Slags are characterized by copper high grade. Thus, slag copper recovery can be led to different cut-off grades and net present value (NPV). The current research scrutinizes the effect of slag recovery by both flotation and hydrometallurgical methods on the hydrometallurgical cut-off grades. For this purpose, the optimum cut-off grade algorithms of hydrometallurgical methods are developed by considering associated environmental parameters, incomes and also the costs. Then, their optimum amounts are calculated with NPV maximization as an objective function. The results indicate that considering slag copper recovery in the hydrometallurgical cut-off grade algorithms reduces the environmental costs caused by slag dumping and leads to more NPV by 9%.

  15. Effectiveness and Cut off Points of Anthropometric Measurements in Predicting Metabolic Syndrome in Turkish Women

    Directory of Open Access Journals (Sweden)

    Sultan Keskin Demircan1

    2016-03-01

    Full Text Available Objective: Examination of the anthropometric methods and cut off points that are most appropriate to predict metabolic syndrome (MS for the female Turkish population. Methods: Waist circumference (WC, waist-hip ratio (WHR, body mass index (BMI, arm circumference (AC, total skin thickness (TST using caliper, body fat percentage (BFP and fat free mass (FFM using bioelectrical impedance were taken in 202 female patients. Blood glucose, lipid panel and blood pressure were also checked. We defined two different MS excluding anthropometric measurements. Low HDL and high triglyceride were separate criteria in the first definition; dyslipidemia was defined one criteria as low HDL and/or high triglyceride and/or triglyceride/HDL≥3 in the second. Efficiency, sensitivity and specificity of anthropometric measurements in predicting MS criteria were assessed using ROC analysis. Results: When compared in determining three or more of the MS parameters of dysglicemia, low HDL, high triglyceride and hypertension, BMI, WC, BFP, WHR and AC were found to be significant (p<0.0001. TST was significant as well (p=0.001. FFM was insignificant (p=0.337. Cut off points for BMI, WC and WHR in predicting MS were 27.7 kg/m2, 92.5 cm, 0.86. When dyslipidemia was defined in one criteria, cut off points were found similarly 27.8 kg/m2, 92.5 cm, 0.86. Conclusion: BMI, WHR, BFP and WC were more valuable than TST and AC in predicting MS but they had no statistically significant superiority over each other. However, with a 95% confidence interval, predictive cut off points were significantly above those observed in western populations.

  16. Prognostic value of Ki67 and p53 in patients with estrogen receptor-positive and human epidermal growth factor receptor 2-negative breast cancer: Validation of the cut-off value of the Ki67 labeling index as a predictive factor

    Science.gov (United States)

    OHARA, MASAHIRO; MATSUURA, KAZUO; AKIMOTO, ETSUSHI; NOMA, MIDORI; DOI, MIHOKO; NISHIZAKA, TAKASHI; KAGAWA, NAOKI; ITAMOTO, TOSHIYUKI

    2016-01-01

    The aim of this study was to evaluate the significance of the Ki67 labeling index and p53 status as prognostic and predictive indicators of operable estrogen receptor (ER)-positive and human epidermal growth factor receptor 2 (HER2)-negative breast cancer. Among 697 consecutive patients with primary breast cancer who underwent curative surgery between 2002 and 2013, 308 patients with ER-positive and HER2-negative breast cancer were assessed. The results of the multivariate Cox analysis demonstrated that a high Ki67 labeling index was significantly associated with a short recurrence-free interval (RFI) (p=0.004) and was marginally associated with a worse overall survival (p=0.074). A positive p53 status was not associated with worse outcomes. To validate the cut-off values of the Ki67 labeling index for identifying patients who may benefit from additional chemotherapy, prognostic factors were investigated in breast cancer patients treated postoperatively with endocrine therapy alone. Analysis of receiver operating characteristic curves demonstrated that a Ki67 labeling index cut-off of 20.0% was optimal for predicting recurrence among patients who did not receive adjuvant chemotherapy. The 5-year RFIs for patients with Ki67 <20 and ≥20% were 97.2 and 86.6%, respectively (p=0.0244). A high Ki67 labeling index (≥20%) was significantly associated with large tumors (p<0.01), lymph node metastasis (p=0.0236) and positive p53 status (p<0.001). The univariate analysis demonstrated that Ki67 labeling index ≥20%, lymph node metastasis and progesterone receptor negativity were significant worse prognostic factors for RFI (p=0.0333, 0.0116 and 0.0573, respectively). The Ki67 labeling index was found to be a useful prognostic factor in patients with ER-positive and HER2-negative breast cancer and the cut-off values of the Ki67 labeling index for making a decision regarding adjuvant treatment were validated. PMID:27073684

  17. Calculating broad neutron resonances in a cut-off Woods-Saxon potential

    CERN Document Server

    Baran, Á; Salamon, P; Vertse, T

    2015-01-01

    In a cut-off Woods-Saxon potential with realistic depth $S$-matrix poles being far from the imaginary wave number axis form a sequence where the distances of the consecutive resonances are inversely proportional with the cut-off radius value. Other poles lying closer to the imaginary wave number axis might have trajectories with irregular shapes as the depth of the potential increases. Poles being close repel each other, and their repulsion is responsible for the changes of the directions of the corresponding trajectories. The interaction is extremely sensitive to the cut-off radius value. The repulsion might cause that certain resonances become antibound and later resonances again when they collide on the imaginary axis.

  18. Calculating broad neutron resonances in a cut-off Woods-Saxon potential

    Energy Technology Data Exchange (ETDEWEB)

    Baran, A.; Noszaly, Cs. [Faculty of Informatics, University of Debrecen, PO Box 12, Debrecen (Hungary); Salamon, P. [Hungarian Academy of Sciences (ATOMKI), Institute for Nuclear Research, PO Box 51, Debrecen (Hungary); Vertse, T. [Faculty of Informatics, University of Debrecen, PO Box 12, Debrecen (Hungary); Hungarian Academy of Sciences (ATOMKI), Institute for Nuclear Research, PO Box 51, Debrecen (Hungary)

    2015-07-15

    In a cut-off Woods-Saxon (CWS) potential with realistic depth S -matrix poles being far from the imaginary wave number axis form a sequence where the distances of the consecutive resonances are inversely proportional with the cut-off radius value, which is an unphysical parameter. Other poles lying closer to the imaginary wave number axis might have trajectories with irregular shapes as the depth of the potential increases. Poles being close repel each other, and their repulsion is responsible for the changes of the directions of the corresponding trajectories. The repulsion might cause that certain resonances become antibound and later resonances again when they collide on the imaginary axis. The interaction is extremely sensitive to the cut-off radius value, which is an apparent handicap of the CWS potential. (orig.)

  19. Physical and cut-off effects of heavy sea quarks

    CERN Document Server

    Knechtli, Francesco; Bruno, Mattia; Finkenrath, Jacob; Leder, Björn; Marinkovic, Marina; Sommer, Rainer

    2014-01-01

    We simulate a theory with two dynamical O($a$) improved Wilson quarks whose mass $M$ ranges from a factor eight up to a factor two below the charm quark mass and at three values of the lattice spacing ranging from 0.066 to 0.034 fm. This theory is a prototype to study the decoupling of heavy quarks. We measure the mass and cut-off dependence of ratios of gluonic observables defined from the Wilson flow or the static potential. The size of the 1/$M$ corrections can be determined and disentangled from the lattice artifacts. The difference with the pure gauge theory is at the percent level when two quarks with a mass of the charm quark are present.

  20. Determination of a saliva cotinine cut-off to distinguish pregnant smokers from pregnant non-smokers

    DEFF Research Database (Denmark)

    Hegaard, Hanne K; Kjaergaard, Hanne; Møller, Lars F;

    2007-01-01

    Objective validation of smoking status is necessary. Earlier studies have used saliva cotinine concentrations between 14.2 and 30 ng/ml as cut-off values to distinguish pregnant smokers from non-smokers. However, these cut-offs derive from studies including men and non-pregnant women....... This constitutes a problem, as recent studies have reported an accelerated metabolism in pregnant smokers. The aim of this study was to determine the optimum cut-off cotinine level distinguishing pregnant smokers from pregnant non-smokers....

  1. Chronic kidney disease : Defining clinical cut-offs for albumin:creatinine ratio

    NARCIS (Netherlands)

    Bakker, Stephan J L

    2013-01-01

    Albuminuria is rapidly gaining recognition as a marker of the presence and of the progression of chronic kidney disease (CKD). In a new study, Naresh et al. attempt to define cut-off values for percentage change in urinary albumin:creatinine ratio that reflect changes in CKD status rather than rando

  2. Cut-off walls in dams for reliable seepage control

    Energy Technology Data Exchange (ETDEWEB)

    Balian, Sebouh; Beckhaus, Karsten; Wiedenmann, Ulli [Baeur Spezialtiefbau GmbH, Schrobenhausen (Germany); Richter, Lars [Bauer Fondations Canada Inc, Calgary (Canada)

    2010-07-01

    Water seepage control is becoming more difficult with the increasing demand for hydroelectricity which tends to lead to dam projects being implemented at sites with inadequate geological conditions. The present paper presented the cut-off wall techniques developed to provide safe solutions against seepage in new dams, upgrading and remedial works. Case studies were presented for each possible use of the cut-off wall techniques. At the Hinze Dam in Australia, located on the Nerang River, a cut-off wall was built in 2009 to allow an upgrade of the existing dam in order to double its storage capacity. The Peribonka River in Quebec, Canada, owned by Hydro-Quebec, was designed with the building of the plastic concrete cut-off wall being done by trench cutter. The Herbert Hoover Rehabilitation, Florida, USA, is an on-going program using CSM cut-off walls. These examples of projects showed that plastic concrete cut-off walls allow safe and reliable seepage control in new dams as well as in upgrading and rehabilitation of existing dams.

  3. The INTEGRAL high energy cut-off distribution of Seyfert galaxies

    Science.gov (United States)

    Malizia, Angela; Ubertini, Pietro; Bird, Antony; Bazzano, Angela; Stephen, John; Molina, Manuela; Bassani, Loredana

    We present the primary continuum parameters, the photon index and the high energy cut-off, of Seyfert galaxies extracted from the INTEGRAL complete sample of AGN. We performed a broad band (0.3-100 keV) spectral analysis by fitting simultaneously the soft and hard X-ray spectra obtained by XMM and INTEGRAL/IBIS-Swift/BAT respectively in order to investigate the general properties of these parameters in particular their distribution and mean values. We present the mean photon index for the t type 1 and type 2 objects of the whole sample as well as their mean high energy cut-off. This is the first time that the cut-off energy is constrained in a such large number of AGN. Using the main parameters of the primary continuum, we are able to obtain the actual physical parameters of the Comptonizing region i.e. the plasma temperature kTe the optical depth tau. Finally, with the high S/N spectra starting to come from NuSTAR it will soon be possible to better constrain the cut-off values in many AGN, allowing the determination of more physical models and so to better understand the continuum emission and geometry of the region surrounding black holes.

  4. Comparison of different DIAGNOdent cut-off limits for in vivo detection of occlusal caries.

    Science.gov (United States)

    Heinrich-Weltzien, Roswitha; Kühnisch, J; Oehme, T; Ziehe, A; Stösser, L; García-Godoy, F

    2003-01-01

    This study tested recently recommended cut-off limits for the laser fluorescence based device DIAGNOdent (KaVo) for detection of occlusal caries. Two hundred and forty-eight permanent molars from 94 patients (mean age 19.2 years) of a general dental practice were included. After professional tooth cleaning, the teeth were examined visually and by the laser fluorescence method. The extent of occlusal lesions (gold standard) was determined after minimal operative intervention. Upon fissure opening, 24 teeth had enamel caries and 224 teeth revealed dentin caries, of which 58 and 166, respectively, were up to or beyond half the dentin. The optimal cut-off limits based on the highest kappa-values (0.51 and 0.54) were > 18 for superficial dentinal caries (D3) and > 37 for deep dentinal caries (D4). The comparison with DIAGNOdent cut-offs given by the manufacturer (n = 4) and those based on clinical trials with in vivo validation (n = 4) and in vitro studies with histological validation (n = 3) revealed a considerable variation in performance. Recommended cut-offs between 17 and 21 for superficial dentin lesions were in the same order of magnitude (0.48-0.51). On the D4 level, only the manufacturer's cut-off of > 34 achieved the best performance (0.51). According to the highest kappa-values and the area under the ROC curves (D3: A(z) = 0.903; D4: A(z) = 0.830), the agreement between the extent of validated caries and laser fluorescence value is still unsatisfactory.

  5. The INTEGRAL high energy cut-off distribution of type 1 AGN

    CERN Document Server

    Malizia, A; Bassani, L; Stephen, J B; Bazzano, A; Ubertini, P; Bird, A J

    2014-01-01

    In this letter we present the primary continuum parameters, the photon index Gamma and the high energy cut-off Ec, of 41 type-1 Seyfert galaxies extracted from the INTEGRAL complete sample of AGN. We performed a broad band (0.3-100 keV) spectral analysis by fitting simultaneously the soft and hard X-ray spectra obtained by XMM and INTEGRAL/IBIS-Swift/BAT respectively in order to investigate the general properties of these parameters in particular their distribution and mean values. We find a mean photon index for the whole sample of 1.73 with a standard deviation of 0.17 and a mean high energy cut-off of 128 keV with a standard deviation of 46 keV. This is the first time that the cut-off energy is constrained in a such large number of AGN. We have 26 measurements of the cut-off, which corresponds to 63% of the entire sample, distributed between 50 and 200 keV. There are a further 11 lower limits mostly below 300 keV. Using the main parameters of the primary continuum, we have been able to obtain the actual ph...

  6. The INTEGRAL High-energy Cut-off Distribution of Type 1 Active Galactic Nuclei

    Science.gov (United States)

    Malizia, A.; Molina, M.; Bassani, L.; Stephen, J. B.; Bazzano, A.; Ubertini, P.; Bird, A. J.

    2014-02-01

    In this Letter we present the primary continuum parameters, the photon index Γ, and the high-energy cut-off E c of 41 type-1 Seyfert galaxies extracted from the International Gamma-Ray Astrophysics Laboratory (INTEGRAL) complete sample of active galactic nuclei (AGNs). We performed broadband (0.3-100 keV) spectral analysis by simultaneously fitting the soft and hard X-ray spectra obtained by XMM and INTEGRAL/IBIS-Swift/BAT, respectively, in order to investigate the general properties of these parameters, in particular their distribution and mean values. We find a mean photon index of 1.73 with a standard deviation of 0.17 and a mean high-energy cut-off of 128 keV with a standard deviation of 46 keV for the whole sample. This is the first time that the cut-off energy is constrained in such a large number of AGNs. We have 26 measurements of the cut-off, which corresponds to 63% of the entire sample, distributed between 50 and 200 keV. There are a further 11 lower limits mostly below 300 keV. Using the main parameters of the primary continuum, we have been able to obtain the actual physical parameters of the Comptonizing region, i.e., the plasma temperature kT e from 20 to 100 keV and the optical depth τ < 4. Finally, with the high signal-to-noise ratio spectra starting to come from NuSTAR it will soon be possible to better constrain the cut-off values in many AGNs, allowing the determination of more physical models and thus better understand the continuum emission and geometry of the region surrounding black holes.

  7. Determination and Application of the cut-off values of RBC Indexes in Screening for Silent α-Thalassemias Carriers%静止型α-地中海贫血红细胞指标临界值的确定及其应用

    Institute of Scientific and Technical Information of China (English)

    汪伟山; 周玉球; 张永良; 肖奇志

    2011-01-01

    Objective To investigate the cut-off values of RBC indexes in screening silent alpha-thalassemias carriers and to evaluate clinical application of the cut-off values. Methods RBC indexes of 77 cases with silent α-thalassaemia and 151 healthy adults (as normal control group)were retrospected,β-thalassaemias and iron deficiency were excluded in the above mentioned individuals.The receiver operating characteristic(ROC)curve was used for identifying the useful RBC index and determining the cut-off values in the screening for silent α-thalassaemias. Results (1)The area under ROC curve of MCV、MCH、MCHC were 0. 857、0. 858 and 0. 740, respectively. Those indexes were of value to screen for silent α-thalassaemias carriers; (2)The cut-off values of MCV、 MC H、MCHC were 82.0 fl and 28.0pg as well as 341.5 g/L; (3)The sensitivity and specificity of the parallel test of either MCV or MCH were 93. 5 % and 72.8 %, respectively. Five silent α-thalassemia carriers failed to detect by the parallel test, resulting in a rate of 6.49%(5/77) for failure of detection, the risk of failure of detection was decreased 12 times when compared with recommended standard by TIF. They were much better than other tests. Conclusion The parallel test of either MCV≤82.0 fl or MCH≤28.0 pg can screen silent α-thalassaemia carriers effectively. The results provide the scientific basis of clinical value for clinics performing genetic counseling in the high prevalent area of thalassaemia,especially in the areas where thalassaemias can not be genotyped.%目的 探讨并评估红细胞相关指标及其临界值用于筛查静止型α-地中海贫血(α-地贫)的临床价值.方法 以77例单纯性静止型α-地贫患者和151例健康成人为研究对象,采用受试者工作特征曲线(ROC曲线)确定静止型α-地贫筛查指标及其临界值.结果 MCV、MCH、MCHC的 ROC曲线下面积分别为0.857,0.858,0.740,均有筛查价值,其最佳临界值分别为82.0 fl、28

  8. Influence of different body mass index cut-off values in assessing the nutritional status of adolescents in a household survey Influência de distintos valores críticos do índice de massa corporal na avaliação do estado nutricional de adolescentes em inquérito domiciliar

    Directory of Open Access Journals (Sweden)

    Fabio da Silva Gomes

    2009-08-01

    Full Text Available The purpose of this study was to evaluate the anthropometric nutritional status of the adolescent population of Niterói, Rio de Janeiro State, Brazil, and the influence of changes in the adopted body mass index (BMI cut-offs in the nutritional status assessment of the adolescent population. A population-based survey conducted in 2003 obtained data from a probabilistic sample of 1,734 households and 523 adolescents. The multiple proportions test and prevalence ratios were used to analyze differences between estimates obtained from different BMI cut-offs. Changes in cut-off values from the old to the new recommendation of the World Health Organization (WHO resulted in a significant increase in overweight prevalence among total, male and female adolescent population (25%, 27% and 23%, respectively (p Este artigo tem por objetivo avaliar o estado nutricional antropométrico da população adolescente residente em Niterói, Rio de Janeiro, Brasil, bem como a influência das mudanças nos valores críticos de índice de massa corporal (IMC na avaliação do estado nutricional dessa população. Uma pesquisa amostral probabilística de base populacional conduzida em 2003 obteve dados de 1.734 domicílios e 523 adolescentes. Testes para múltiplas proporções e razões de prevalência foram utilizados para analisar as diferenças entre estimativas obtidas segundo distintos valores críticos de IMC. Mudanças nos pontos de corte da antiga para a atual recomendação da Organização Mundial da Saúde (OMS resultaram em aumentos significativos nas prevalências de sobrepeso entre o total de adolescentes, meninos e meninas (25%, 27% e 23%, respectivamente (p < 0,05. A proposta da International Obesity Task Force resultou em uma redução significativa de 29% e 39% na prevalência de baixo-IMC-para-idade entre o total de adolescentes e meninos, respectivamente, quando comparada à recomendação atual da OMS (p < 0,05. Foi evidenciado que uma simples

  9. Multiple Sclerosis Questionnaire for Job Difficulties (MSQ-Job): definition of the cut-off score.

    Science.gov (United States)

    Schiavolin, Silvia; Giovannetti, Ambra Mara; Leonardi, Matilde; Brenna, Greta; Brambilla, Laura; Confalonieri, Paolo; Frangiamore, Rita; Mantegazza, Renato; Moscatelli, Marco; Clerici, Valentina Torri; Cortese, Francesca; Covelli, Venusia; Ponzio, Michela; Zaratin, Paola; Raggi, Alberto

    2016-05-01

    Multiple Sclerosis (MS) mainly affects people of working age. The Multiple Sclerosis Questionnaire for Job Difficulties (MSQ-Job) was designed to measure difficulties in work-related tasks. Our aim is to define cut-off score of MSQ-Job to identify potential critical situations that might require specific attention. A sample of patients with MS completed the MSQ-Job, WHODAS 2.0 and MSQOL-54 respectively for work difficulties, disability and health-related quality of life (HRQoL) evaluation. K-means Cluster Analysis was used to divide the sample in three groups on the basis of HRQoL and disability. ANOVA test was performed to compare the response pattern between these groups. The cut-off score was defined using the receiver operating characteristic (ROC) curve analyses for MSQ-Job total and count of MSQ-Job items scores ≥3: a score value corresponding to the maximum of the sensitivity-to-specificity ratio was chosen as the cut-off. Out of 180 patients enrolled, twenty were clustered in the higher severity group. The area under the ROC curve was 0.845 for the MSQ-Job total and 0.859 for the count of MSQ-Job items scores ≥3 while the cut-off score was 15.8 for MSQ-Job total and 8 for count of items scored ≥3. We recommend the use of MSQ-Job with this calculation as cut-off for identifying critical situations, e.g. in vocational rehabilitation services, where work-related difficulties have a significant impact in terms of lower quality of life and higher disability.

  10. Designing the sound of a cut-off drum

    CERN Document Server

    Martinetti, Pierre

    2015-01-01

    The spectral action in noncommutative geometry naturally implements an ultraviolet cut-off, by counting the eigenvalues of a (generalized) Dirac operator lower than an energy of unification. Inverting the well known question "how to hear the shape of a drum ?", we ask what drum can be designed by hearing the truncated music of the spectral action ? This makes sense because the same Dirac operator also determines the metric, via Connes distance. The latter thus offers an original way to implement the high-momentum cut-off of the spectral action as a short distance cut-off on space. This is a non-technical presentation of the results of http://arxiv.org/abs/1305.2605

  11. Cut-off wall construction at the Peribonka hydroelectric project

    Energy Technology Data Exchange (ETDEWEB)

    Ouellette, C.; Morency, J.Y.; Bigras, A.; Hammamji, Y. [Hydro-Quebec Equipment, Montreal, PQ (Canada); Gagne, B. [SNC-Lavalin, Montreal, PQ (Canada); Rattue, A. [SNC-Lavalin, Montreal, PQ (Canada). Energy Division

    2007-07-01

    The Peribonka hydroelectric development, located in Quebec includes a 80 metre high dam and two dikes consisting of zoned earth and rock fills with a till core, an underground power house, a diversion tunnel and a spillway. The project is in its final stages of construction and presented several challenges related to the presence of a deep canyon under the river bed filled with alluvial sand, gravel, cobbles and boulders. The design included an approximately 10 metre high working platform in the river and the construction of a plastic concrete cut-off wall down to bedrock. The construction of a 116 metre deep single cut-off wall that is at the limit of precedent in terms of present knowledge and equipment capacity was the main challenge for the project. In addition, a 52 metre deep plastic concrete cut-off wall was built under a dyke. This conference discussed the cut-off wall construction experience, as well as the challenges encountered and how they were addressed. The paper presented a description of the site conditions and the scope of the work, as well as the typical specifications of the cut-offs. The paper also provided an overview of an extensive quality control program that was implemented for all phases of the project construction and results of the project. Last, the paper described the challenges, problems encountered and the modifications from the initial design and specifications. It was concluded that the topography at the Peribonka dam site showed a deep narrow gully filled with alluvial material comprising sand, gravel, cobbles and boulders. Elaborate quality control was essential to ensure that excavation and concreting were done to satisfactory standards. 4 refs., 4 tabs., 11 figs.

  12. Cut-off proposal for the detection of ketamine in hair.

    Science.gov (United States)

    Salomone, A; Gerace, E; Diana, P; Romeo, M; Malvaso, V; Di Corcia, D; Vincenti, M

    2015-03-01

    Ketamine is a powerful anesthetic drug used in both human and veterinary surgery, but it is also commonly misused because of its psychotropic properties. Since the abuse of this drug has been reported in many countries worldwide, its determination in hair samples is offered as a specialist test by hundreds of laboratories. However, unlike other common drugs of abuse, a cut-off level for ketamine in hair has not been fixed yet. Therefore, aim of this study is to propose a concentration value for ketamine in hair analysis, in order to discriminate between chronic and occasional use, and between active use and external contamination. After considering the chemical properties of this molecule, and the experimental data collected in our laboratory or reported in several other published studies, we propose a cut-off level of 0.5ng/mg, as indicative of repeated exposure to ketamine. Additionally, we suggest that the detection of the metabolite norketamine should be mandatory to prove active intake and exclude false positive result from external contamination. Thus, a reasonable cut-off value for norketamine could be fixed at 0.1ng/mg, while the minimal concentration ratio norketamine/ketamine may be positively established at 0.05. PMID:25616219

  13. Distributions of the S-matrix poles in Woods-Saxon and cut-off Woods-Saxon potentials

    Science.gov (United States)

    Salamon, P.; Baran, Á.; Vertse, T.

    2016-08-01

    The positions of the l = 0S-matrix poles are calculated in generalized Woods-Saxon (GWS) potential and in cut-off generalized Woods-Saxon (CGWS) potential. The solutions of the radial equations are calculated numerically for the CGWS potential and analytically for GWS using the formalism of Gy. Bencze [1]. We calculate CGWS and GWS cases at small non-zero values of the diffuseness in order to approach the square well potential and to be able to separate effects of the radius parameter and the cut-off radius parameter. In the case of the GWS potential the wave functions are reflected at the nuclear radius therefore the distances of the resonant poles depend on the radius parameter of the potential. In CGWS potential the wave function can be reflected at larger distance where the potential is cut to zero and the derivative of the potential does not exist. The positions of most of the resonant poles do depend strongly on the cut-off radius of the potential, which is an unphysical parameter. Only the positions of the few narrow resonances in potentials with barrier are not sensitive to the cut-off distance. For the broad resonances the effect of the cut-off cannot be corrected by using a suggested analytical form of the first order perturbation correction.

  14. Introduction of a distance cut-off into structural alignment by the double dynamic programming algorithm.

    Science.gov (United States)

    Toh, H

    1997-08-01

    Two approximations were introduced into the double dynamic programming algorithm, in order to reduce the computational time for structural alignment. One of them was the so-called distance cut-off, which approximately describes the structural environment of each residue by its local environment. In the approximation, a sphere with a given radius is placed at the center of the side chain of each residue. The local environment of a residue is constituted only by the residues with side chain centers that are present within the sphere, which is expressed by a set of center-to-center distances from the side chain of the residue to those of all the other constituent residues. The residues outside the sphere are neglected from the local environment. Another approximation is associated with the distance cut-off, which is referred to here as the delta N cut-off. If two local environments are similar to each other, the numbers of residues constituting the environments are expected to be similar. The delta N cut-off was introduced based on the idea. If the difference between the numbers of the constituent residues of two local environments is greater than a given threshold value, delta N, the evaluation of the similarity between the local environments is skipped. The introduction of the two approximations dramatically reduced the computational time for structural alignment by the double dynamic programming algorithm. However, the approximations also decreased the accuracy of the alignment. To improve the accuracy with the approximations, a program with a two-step alignment algorithm was constructed. At first, an alignment was roughly constructed with the approximations. Then, the epsilon-suboptimal region for the alignment was determined. Finally, the double dynamic programming algorithm with full structural environments was applied to the residue pairs within the epsilon-suboptimal region to produce an improved alignment.

  15. A PROBLEM OF CUTTING OFF THE LAMINATED SEMIS TYPE PLATE

    Directory of Open Access Journals (Sweden)

    Florin Ciofu

    2012-11-01

    Full Text Available A problem often coped on many domains such as wood manufacturing, glass, plastics and metallic platework industry, is the shaping or cutting off a big plate in many pieces. With this purpose there are algorithms of optimizing for positioning the parts following to be cut off from a row plate. From mathematical point of view, in positioning the parts on a raw plate the number of solutions increase four times evrey time a new part is added, and in case of finding the best solution for about few hundreds of pieces or parts would require years of processing on the most performant computers nowadays – for an analogy remember the famous story with the rice beads which the King had to pay to the master teaching him the chess: twice more for each square of the chessboard; for the total quantity assessment, King ascertained that the crops in his whole life wouldn’t have been enough.

  16. Cut-off point for WHOQOL-bref as a measure of quality of life of older adults

    Directory of Open Access Journals (Sweden)

    Patrícia Aparecida Barbosa Silva

    2014-06-01

    Full Text Available OBJECTIVE To propose a cut-off for the World Health Organization Quality of Life-Bref (WHOQOL-bref as a predictor of quality of life in older adults.METHODS Cross-sectional study with 391 older adults registered in the Northwest Health District in Belo Horizonte, MG, Southeastern Brazil, between October 8, 2010 and May 23, 2011. The older adults’ quality of life was measured using the WHOQOL-bref. The analysis was rationalized by outlining two extreme and simultaneous groups according to perceived quality of life and satisfaction with health (quality of life good/satisfactory – good or very good self-reported quality of life and being satisfied or very satisfied with health – G5; and poor/very poor quality of life – poor or very poor self-reported quality of life and feeling dissatisfied or very dissatisfied with health – G6. A Receiver-Operating Characteristic curve (ROC was created to assess the diagnostic ability of different cut-off points of the WHOQOL-bref.RESULTS ROC curve analysis indicated a critical value 60 as the optimal cut-off point for assessing perceived quality of life and satisfaction with health. The area under the curve was 0.758, with a sensitivity of 76.8% and specificity of 63.8% for a cut-off of ≥ 60 for overall quality of life (G5 and sensitivity 95.0% and specificity of 54.4% for a cut-off of < 60 for overall quality of life (G6.CONCLUSIONS Diagnostic interpretation of the ROC curve revealed that cut-off < 60 for overall quality of life obtained excellent sensitivity and negative predictive value for tracking older adults with probable worse quality of life and dissatisfied with health.

  17. Tentative Colistin Epidemiological Cut-Off Value for Salmonella spp

    DEFF Research Database (Denmark)

    Agersø, Yvonne; Torpdahl, Mia; Zachariasen, Camilla;

    2012-01-01

    The objective of this research was to determine minimal inhibitory concentration (MIC) population distributions for colistin for Salmonella on subtype level. Furthermore, we wanted to determine if differences in MIC for colistin could be explained by mutations in pmrA or pmrB encoding proteins...... involved in processes that influence the binding of colistin to the cell membrane. During 2008–2011, 6,583 Salmonella enterica subsp. enterica isolates of human origin and 1931 isolates of animal/meat origin were collected. The isolates were serotyped, and susceptibility was tested towards colistin (range...... 1–16 mg/L). Moreover, 37 isolates were tested for mutations in pmrA and pmrB by polymerase chain reaction (PCR) and DNA sequencing. MIC distribution for colistin at serotype level showed that Salmonella Dublin (n=198) followed by Salmonella Enteritidis (n=1247) were less susceptible than “other...

  18. Resonance and cut-off surfaces in the ion cyclotron frequency range in toroidal geometry

    International Nuclear Information System (INIS)

    Resonances and cut-offs of the fast Alfven and ion-cyclotron waves have been studied for a multicomponent plasma in a toroidal axisymmetric geometry. The resonance and cut-off frequencies are given by eigenvalues of ordinary differential equations on the rosonance and cut-off sufaces, respectively. These surfaces coincide with magnetic surfaces. (author)

  19. Energetics of southeastern Pacific cut-off lows

    Science.gov (United States)

    Gan, Manoel Alonso; Piva, Everson Dal

    2016-06-01

    The existence of cut-off lows (COLs) over South Pacific and South America is often associated with adverse weather events such as intense precipitation over the central region of South America, frost episodes in southern Brazil and the development of Andes lee cyclones and intense cyclones over the southern coast of Brazil. Despite this importance, the formation and maintenance mechanisms of the COLs are not well understood. To detail the significant variability in terms of the eddy kinetic energy equation for fifty cases of COLs that formed over the southeastern Pacific Ocean is the aim of this study. Only the cases of COLs that formed over the ocean and remained there during most of their life were chosen. The main terms of the equation [ageostrophic flux convergence (AFC), baroclinic conversion (BRC) and barotropic conversion (BRT)] were calculated using the 6-hourly gridded data from the National Centers for Environmental Prediction/Department of Energy reanalysis. The formation mechanism of the COLs was associated with BRC and AFC. During the midlife period, the BRC term converted eddy kinetic energy to eddy potential energy and the AFC had a positive contribution until 6 h after the midlife point. In the dissipation phase, the BRC term remained positive and AFC became negative. The BRT extracted kinetic energy from the COL during the entire life cycle. The AFC term was the most important in all phases of the cut-off lifetime, and it was the responsible for extending the cut-off lifetime while the others terms were negatives.

  20. Avaliação do desempenho diagnóstico e do valor de corte para o índice de respiração rápida e superficial na predição do insucesso da extubação Evaluation of the diagnostic performance and cut-off value for the rapid shallow breathing index in predicting extubation failure

    Directory of Open Access Journals (Sweden)

    Aline Roberta Danaga

    2009-06-01

    Full Text Available OBJETIVO: Avaliar o desempenho diagnóstico do índice de respiração rápida e superficial (IRRS na predição do insucesso da extubação de pacientes adultos em terapia intensiva e verificar a adequação do valor de corte clássico para esse índice. MÉTODOS: Estudo prospectivo realizado na unidade de terapia intensiva de adultos do Hospital das Clínicas da Faculdade de Medicina de Botucatu, através da avaliação do IRRS em 73 pacientes consecutivos considerados clinicamente prontos para extubação. RESULTADOS: O IRRS com valor de corte clássico (105 ciclos/min/L apresentou sensibilidade de 20% e especificidade de 95% (soma = 115%. A análise da curva receiver operator characteristic (ROC demonstrou melhor valor de corte (76,5 ciclos/min/L, o qual forneceu sensibilidade de 66% e especificidade de 74% (soma = 140%, e a área sob a curva ROC para o IRRS foi de 0,78. CONCLUSÕES: O valor de corte clássico do IRRS se mostrou inadequado nesta casuística, prevendo apenas 20% dos pacientes com falha na extubação. A obtenção do novo valor de corte permitiu um acréscimo substancial de sensibilidade, com aceitável redução da especificidade. O valor da área sob a curva ROC indicou satisfatório poder discriminativo do índice, justificando a validação de sua aplicação.OBJECTIVE: To evaluate the diagnostic performance of the rapid shallow breathing index (RSBI in predicting extubation failure among adult patients in the intensive care unit and to determine the appropriateness of the classical RSBI cut-off value. METHODS: This was a prospective study conducted in the adult intensive care unit of the Botucatu School of Medicine Hospital das Clínicas. The RSBI was evaluated in 73 consecutive patients considered clinically ready for extubation. RESULTS: The classical RSBI cut-off value (105 breaths/min/L presented a sensitivity of 20% and a specificity of 95% (sum = 115%. Analysis of the receiver operator characteristic (ROC curve

  1. Permeability porosity relationships (K, Phi cut-off)

    Energy Technology Data Exchange (ETDEWEB)

    Djettou, F.; Reda, H. [Sonatrach, Algiers (Algeria)

    1995-08-01

    Several reservoirs of Lower Devonian in Ghadames basin present porosities greater than 10 Pu, but during the test they are rather impermeable. It seems that this phenomena extends to BERKINE and Rhourd Messaoud areas. This seriously affect the estimation of recovery reserves. The best we can do is to study and try to understand reservoir problems. The method we choose is based on statistical analysis of test results and their comparison with core and log measurements. It concerns mainly cummulative curves of productive and non-productive tests (dry test). This involves about 20 wells where are can define: Siegenian with: Fine grained in BBK and ROM Coarse grained toward BRN - Emsian is rather homogeneous in the region. The sand cut-off porosity is greater than 11 Pu. However the reservoir can`t produce itself then we can not take account in reserve estimation. In conclusion, a sandy reservoir of Lower Devonian in Ghadames basin may be very porous (11-12%) and impermeable while in the other cases reservoirs can produce with porosity of 7 or 8 Po. However a HC definition based on cut-off porosity in Ghadames basin should be done before net pay an recovery reserves estimation.

  2. ELISA Cut-off Point for the Diagnosis of Human Brucellosis; a Comparison with Serum Agglutination Test

    Directory of Open Access Journals (Sweden)

    Anahita Sanaei Dashti

    2012-03-01

    Full Text Available Background: Brucellosis is a world-wide disease, which has a diverse clinical manifestation, and its diagnosis has to be proven by laboratory data. Serum agglutination test (SAT is the most-widely used test for diagnosing brucellosis. The enzyme linked immunosorbent assay (ELISA can also determine specific antibody classes against brucella. It is a sensitive, simple and rapid test, which could be an acceptable alternative to SAT with fewer limitations, however, like any other new test it should be further evaluated and standardized for various populations. This study was planned to determine an optimal cut-off point, for ELISA which would offer maximum sensitivity and specificity for the test when compared to SAT.Methods: Four hundred and seven patients with fever and other compatible symptoms of brucellosis were enrolled in the study. Serum agglutination test, 2-Mercaptoethanol test, and ELISA were performed on their sera. Results: The cut-off point of 53 IU/ml of ELISA-IgG yielded the maximal sensitivity and specificity comparing to the other levels of ELISA-IgG, and was considered the best cut off-point of ELISA-IgG to diagnose acute brucellosis. At this cut-off, the sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, and negative likelihood ratio were 84.09%, 85.38%, 62.20, 94.90, 5.75, 0.18, respectively.Conclusion: The best cut-off point of ELISA-IgG is 53 IU/ml, which yields the maximal sensitivity and specificity to diagnose acute brucellosis.

  3. Effective Potential in Curved Space and Cut-Off Regularizations

    CERN Document Server

    Sobreira, Flavia; Shapiro, Ilya L

    2011-01-01

    We consider derivation of the effective potential for a scalar field in curved space-time within the physical regularization scheme, using two sorts of covariant cut-off regularizations. The first one is based on the local momentum representation and Riemann normal coordinates and the second is operatorial regularization, based on the Fock-Schwinger-DeWitt proper-time representation. We show, on the example of a self-interacting scalar field, that these two methods produce equal results for divergences, but the first one gives more detailed information about the finite part. Furthermore, we calculate the contribution from a massive fermion loop and discuss renormalization group equations and their interpretation for the multi-mass theories.

  4. Short-range Cut-Off of the Summed-Up van der Waals Series

    Science.gov (United States)

    Patra, Abhirup; Perdew, John P.

    2015-03-01

    van der Waals interactions are important in typical van der Waals-bound systems such as noble-gas, hydrocarbon, alkali and alkaline-earth dimers. The summed-up van der Waals series works well and gives an accurate result at large separation between two atoms. But it has a strong singularity at short non-zero separation, where the two atoms touch. In this work we remove that singularity with a reasonable and physical choice of the cut-off distance. Only one fitting parameter has been introduced for the short-range cut off. The parameter in our model has been optimized for each system, and a system-averaged value has been used to get the final binding energy curves. When this correction is added to the binding energy curve from the semilocal density functional meta-GGA-MS2, we get vdW- corrected binding energy curve. These curves are compared with the results of other vdW-corrected methods such as PBE-D2 and vdW-DF2 .Binding energy curves are in reasonable agreement with those from experiment. These curves also predict reasonably good equilibrium bond length. Supported by NSF (DMR).

  5. 先天性心脏病患儿术前充血性心力衰竭年龄分层后血浆氨基末端B型脑利钠肽前体诊断界值的研究%Cut-off values of amino-terminal pro-B-type natriuretic peptide for the diagnosis of chronic heart failure in children of age stratification with congenital heart disease prior to heart surgery

    Institute of Scientific and Technical Information of China (English)

    林春旺; 曾祥林; 孟秀会; 江少虎; 欧阳辉

    2013-01-01

    目的 通过检测先天性心脏病(congenital heart disease,CHD)患儿在行心脏手术前血浆中的氨基末端B型脑利钠肽前体(amino-terminal pro-B-type natriuretic peptide,NT-proBNP)血浆浓度,绘制ROC曲线分析其敏感度、特异度及约登指数,探讨0~5岁经年龄分层前后充血性心力衰竭(congestiveheart failure,CHF)患儿血浆NT-proBNP诊断界值.方法 测定2011年1月至2013年1月收治的100例CHD术前患儿(试验组)及100例正常儿童(对照组)血浆NT-proBNP,合并CHF的CHD患儿(CHF组)经年龄分层又分为0~1岁组、~3岁组和~5岁组,探讨各自的NT-proBNP诊断CHF的界值.结果 100例CHD患儿中,34例符合改良Ross心力衰竭诊断标准,试验组在年龄分层前按照ROC曲线选取的NT-proBNP诊断CHF界值为502 ng/L,经年龄分层后0~1岁组、~3岁组、~5岁组的NT-proBNP诊断CHF界值分别为552 ng/L、449ng/L、349 ng/L.结论 该研究结果显示,合并CHF的CHD术前患儿经年龄分层后0~1岁组、~3岁组、~5岁组的NT-proBNP诊断CHF界值分别为552 ng/L、449ng/L、349 ng/L.%Objective To detect the plasma amino-terminal pro-B-type natriuretic peptide (NT-ProBNP) of children with congenital heart disease(CHD) prior to heart surgery,to analysize its sensitivity,specificity and Youden index by receiver operating characteristic(ROC) curve,to explore the cut-off values of plasma NTProBNP for the diagnosis of congestive heart failure(CHF) in children under 5 years old before and after age stratification.Method The plasma NT-proBNP was detected for 100 children with CHD prior to heart surgery (experimental group) and 100 normal children(control group) between January 2011 to January 2013.Age stratification(0 ~ 1 year group,~3 years group and ~ 5 year group) was conducted in children with CHF younger than 5 years old to explore the cut-off values of plasma NT-ProBNP for the diagnosis of CHF.Results The NT-proBNP of 34 patients with CHF(n =100) was in

  6. Value of waist circumference, body mass index and hyperinsulinaemia in identifying metabolic syndrome

    Institute of Scientific and Technical Information of China (English)

    Hui TIAN; Jingfang SUN; Changyu PAN; Juming LU; Jingtao DOU; Fangling MA; Xiaoman ZHOU; Fusheng FANG; Yinghong SHAO; Chunlin LI; Jian LI; Xiutang CAO; Shuangtong YAN; Wenwen ZHONG; Yanyan LI

    2008-01-01

    To investigate the significance of waist circum-ference (WC), body mass index (BMI) and hyperinsuli-naemia A (Hlns) in evaluating metabolic syndrome (MS). Clinical data from middle-aged and senile indivi-duals (middle-senile group) who received glucose tol-erance test after diabetes mellitus screening and a group of subjects who received annual oral glucose tolerance test (OGTT) for diabetes mellitus screening (adult group) were collected. Data were collected by use of special mes-sengers, input into a computer data base and analyzed using SAS 5.0 software by expert staff. Abnormal WC and BMI were determined according to International Diabetes Federation (IDF) and Chinese Diabetes Society (CDS) criteria. Hlns was ascertained if fasting insulin (Fins)≥15 mU/L, and/or 2-hour insulin after a glucose challenge was (2hPIns)≥80 mU/L. Abnorma-lities in WC, BMI and Hlns were all found to be risk factors for abnormal glucose metabolism, hypertension and dyslipidemia. In the middle-senile group, the abnor-mality rate of WC and Hlns as well as the overall insulin level were significantly higher than those in the adult group. The abnormality rate of BMI was higher in the adult group, and HIns was mostly seen in impaired glu-cose test (IGT) and normal glucose test (NGT). The con-cordance rate of WC and BMI diagnostic criteria for evaluating obesity in the middle-senile and adult groups were 77.5% and 74.3%, respectively. When only the WC criterion was used for evaluating the existence of insulin resistance, there was a 28.2% missed diagnosis rate for MS patients. WC, BMI and Hlns were all risk factors for abnormal glucose metabolism, hypertension and dyslipi-demia. There was differing prevalence in the different populations. The combination of WC, BMI and Hlnsmight be more helpful in identifying MS at early stage.

  7. Dual cut-off dc-tunable microwave low-pass filter on superconducting Nb microstrips with asymmetric nanogrooves

    OpenAIRE

    Dobrovolskiy, Oleksandr V.; Huth, Michael

    2015-01-01

    We present a dual cut-off, dc-tunable low-pass microwave filter on a superconducting Nb microstrip with uniaxial asymmetric nanogrooves. The frequency response of the device was measured in the range $300$\\,KHz to $14$\\,GHz at different temperatures, magnetic fields, and dc current values. The microwave loss is most effectively reduced when the Abrikosov vortex lattice spatially matches the underlying washboard pinning landscape. The forward transmission coefficient $S_{21}(f)$ of the microst...

  8. Interacting logarithmic entropy-corrected holographic dark energy model with different cut-offs in Brans-Dicke cosmology

    CERN Document Server

    Darabi, F

    2015-01-01

    We study the Interacting Logarithmic Entropy-Corrected Holographic Dark Energy model with different cut-offs in Brans-Dicke cosmology and obtain the equation of state and the squared of sound speed for each cut-off. The former is used to describe the accelerating or decelerating behaviour and the later is used to describe the classical stability or instability of the universe. The correspondence between the scalar field models and the logarithmic entropy-corrected holographic dark energy densities allows us to reconstruct the potentials and the dynamics of the quintessence and tachyon scalar field models in Brans-Dicke cosmology. We show that these models can describe the observed accelerated expansion of our universe with a parameter space consistent with the most recent observational data. However, it turns out that there is fine-tuning problem concerning the value of Brans-Dicke parameter $\\omega$ at early universe which casts doubt on the viability of these dark energy models.

  9. The Association Between Epicardial Adipose Tissue and Coronary Artery Disease: an Echocardiographic Cut-off Point

    Directory of Open Access Journals (Sweden)

    Mehrnoush Toufan

    2012-09-01

    Full Text Available Introduction: EAT is an independent factor in coronary artery disease (CAD. The objective of the current study was to define an echocardiographic cut-off point for EAT and to determine its diagnostic value in predicting the increase in CAD risk. Methods: Two hundred patients underwent coronary artery angiography for diagnosis of CAD and transthoracic echocardiography for measurement of EAT on the right ventricle (RV, RV apex and RV outlet tract. Sensitivity, specificity, positive predictive value (PPV and negative predictive value (NPV of the EAT cut-off points in the three above-mentioned areas for predicting the severity of CAD were measured. The relation between the EAT and CAD risk factors was evaluated as well. Results: EAT was independent from gender, height, hypertension, diabetes, HDL, total cholesterol, ejection fraction, acute coronary syndrome, and the location of the coronary artery stenosis in the coronary artery in all three anatomical areas. EAT on RV and RV apex had a significant relation with CAD (P ≤ 0.05. Overall, RV EAT≥ 10 mm and RV apex EAT ≥ 8 mm had sensitivity and PPV of more than 70% in predicting coronary stenosis ≥ 50% and acute coronary syndrome (ACS and RVOT EAT ≥ 13 mm is of PPV=83.5% for predicting coronary stenosis ≥ 50%. Conclusion: EAT thickness has an acceptable diagnostic value for predicting severe coronary artery stenosis and ACS. Therefore, non-invasive EAT thickness measurement could be of great assistance to clinicians for detecting the patients at risk and helping them to undergo supplementary evaluations with invasive approaches.

  10. Distributions of the S-matrix poles in Woods-Saxon and cut-off Woods-Saxon potentials

    CERN Document Server

    Salamon, P; Vertse, T

    2015-01-01

    The positions of the $l=0$ $S$-matrix poles are calculated in generalized Woods-Saxon (GWS) potential and in cut-off generalized Woods-Saxon (CGWS) potential. The solutions of the radial equations are calculated numerically for the CGWS potential and analytically for GWS using the formalism of Gy. Bencze \\cite{[Be66]}. We calculate CGWS and GWS cases at small non-zero values of the diffuseness in order to approach the square well potential and to be able to separate effects of the radius parameter and the cut-off radius parameter. In the case of the GWS potential the wave functions are reflected at the nuclear radius therefore the distances of the resonant poles depend on the radius parameter of the potential. In CGWS potential the wave function can be reflected at larger distance where the potential is cut to zero and the derivative of the potential does not exist. The positions of most of the resonant poles do depend strongly on the cut-off radius of the potential, which is an unphysical parameter. Only the...

  11. Quantum fields and poisson processes II: Interaction of boson-boson and boson-fermion fields with a cut-off

    Science.gov (United States)

    Bertrand, J.; Gaveau, B.; Rideau, G.

    1985-05-01

    Quantum field evolutions are written as expectation values with respect to Poisson processes in two simple models: interaction of two boson fields (with conservation of the number of particles in one field) and interaction of a boson with a fermion field. The introduction of a cut-off ensures that the expectation values are well-defined.

  12. Transmission characteristics of the wave cut-off probe with parallel plates

    Science.gov (United States)

    Kang, Hyun-Ju; Kim, Yu-Sin; Chung, Chin-Wook

    2012-10-01

    A cut-off probe has been used to obtain an absolute electron density from a plasma frequency. A cut-off probe with parallel plates was constructed to investigate the transmission characteristics of electromagnetic waves and electrostatic waves at various gaps, pressures and powers. It is found that a clear cut-off peak at a plasma frequency and many other peaks due to plasma sheath series resonance, cavity resonance and transmission line are observed. By using circuit model of plasma and transmission line theory, the various peaks was analyzed and discussed.

  13. The Mass Shell of the Nelson Model without Cut-Offs

    CERN Document Server

    Bachmann, S; Pizzo, A

    2011-01-01

    The massless Nelson model describes non-relativistic, spinless quantum particles interacting with a relativistic, massless, scalar quantum field. The interaction is linear in the field. We analyze the one particle sector. First, we construct the renormalized mass shell of the non-relativistic particle for an arbitrarily small infrared cut-off that turns off the interaction with the low energy modes of the field. No ultraviolet cut-off is imposed. Second, we implement a suitable Bogolyubov transformation of the Hamiltonian in the infrared regime. This transformation depends on the total momentum of the system and is non-unitary as the infrared cut-off is removed. For the transformed Hamiltonian we construct the mass shell in the limit where both the ultraviolet and the infrared cut-off are removed. Our approach is constructive and leads to explicit expansion formulae which are amenable to rigorously control the S-matrix elements.

  14. Phase properties of the cut-off high-order harmonics

    CERN Document Server

    Khokhlova, M A

    2015-01-01

    The cut-off regime of high-order harmonic generation (HHG) by atoms in an intense laser field is studied numerically and analytically. We find that the cut-off regime is characterized by equal dephasing between the successive harmonics. The change of the harmonic phase-locking when HHG evolves from the cut-off to the plateau regime determines the optimal bandwidth of the spectral region which should be used for attosecond pulse generation via amplitude gating technique. The cut-off regime is also characterized by a linear dependence of the harmonic phase on the fundamental intensity. The proportionality coefficient grows as the cube of the fundamental wavelength, thus this dependence becomes very important for the HHG by mid-infrared fields. Moreover, for every high harmonic there is a {\\it range} of laser intensities providing the generation in the cut-off regime and the atomic response magnitude in this regime can be greater than that in the plateau regime. Thus the cut-off regime substantially contributes ...

  15. T-cell assays for tuberculosis infection: deriving cut-offs for conversions using reproducibility data.

    Directory of Open Access Journals (Sweden)

    Anandharaman Veerapathran

    Full Text Available BACKGROUND: Although interferon-gamma release assays (IGRA are promising alternatives to the tuberculin skin test, interpretation of repeated testing results is hampered by lack of evidence on optimal cut-offs for conversions and reversions. A logical start is to determine the within-person variability of T-cell responses during serial testing. METHODOLOGY/PRINCIPAL FINDINGS: We performed a pilot study in India, to evaluate the short-term reproducibility of QuantiFERON-TB Gold In Tube assay (QFT among 14 healthcare workers (HCWs who underwent 4 serial QFT tests on day 0, 3, 9 and 12. QFT ELISA was repeated twice on the same sets of specimens. We assessed two types of reproducibility: 1 test-retest reproducibility (between-test variability, and 2 within-person reproducibility over time. Test-retest reproducibility: with dichotomous test results, extremely high concordance was noticed between two tests performed on the same sets of specimens: of the 56 samples, the test and re-test results agreed for all but 2 individuals (kappa = 0.94. Discordance was noted in subjects who had IFN-gamma values around the cut-off point, with both increases and decreases noted. With continuous IFN-gamma results, re-test results tended to produce higher estimates of IFN-gamma than the original test. Within-person reproducibility: when continuous IFN-gamma data were analyzed, the within-person reproducibility was moderate to high. While persons with negative QFT results generally stayed negative, positive results tended to vary over time. Our data showed that increases of more than 16% in the IFN-gamma levels are statistically improbable in the short-term. CONCLUSIONS: Conservatively assuming that long-term variability might be at least twice higher than short-term, we hypothesize that a QFT conversion requires two conditions to be met: 1 change from negative to positive result, and 2 at least 30% increase in the baseline IFN-gamma response. Larger studies are needed

  16. Detection of relevant colonic neoplasms with PET/CT: promising accuracy with minimal CT dose and a standardised PET cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Luboldt, Wolfgang [Multiorgan Screening Foundation, Frankfurt (Germany); University Hospital Frankfurt, Department of Radiology, Frankfurt am Main (Germany); University Hospital Dresden, Clinic and Policlinic of Nuclear Medicine, Dresden (Germany); Volker, Teresa; Zoephel, Klaus; Kotzerke, Joerg [University Hospital Dresden, Clinic and Policlinic of Nuclear Medicine, Dresden (Germany); Wiedemann, Baerbel [University Hospital Dresden, Institute of Medical Informatics and Biometrics, Dresden (Germany); Wehrmann, Ursula [University Hospital Dresden, Clinic and Policlinic of Surgery, Dresden (Germany); Koch, Arne; Abolmaali, Nasreddin [University Hospital Dresden, Oncoray, Dresden (Germany); Toussaint, Todd; Luboldt, Hans-Joachim [Multiorgan Screening Foundation, Frankfurt (Germany); Middendorp, Markus; Gruenwald, Frank [University Hospital Frankfurt, Department of Nuclear Medicine, Frankfurt (Germany); Aust, Daniela [University Hospital Dresden, Department of Pathology, Dresden (Germany); Vogl, Thomas J. [University Hospital Frankfurt, Department of Radiology, Frankfurt am Main (Germany)

    2010-09-15

    To determine the performance of FDG-PET/CT in the detection of relevant colorectal neoplasms (adenomas {>=}10 mm, with high-grade dysplasia, cancer) in relation to CT dose and contrast administration and to find a PET cut-off. 84 patients, who underwent PET/CT and colonoscopy (n=79)/sigmoidoscopy (n=5) for (79 x 6+5 x 2)=484 colonic segments, were included in a retrospective study. The accuracy of low-dose PET/CT in detecting mass-positive segments was evaluated by ROC analysis by two blinded independent reviewers relative to contrast-enhanced PET/CT. On a per-lesion basis characteristic PET values were tested as cut-offs. Low-dose PET/CT and contrast-enhanced PET/CT provide similar accuracies (area under the curve for the average ROC ratings 0.925 vs. 0.929, respectively). PET demonstrated all carcinomas (n=23) and 83% (30/36) of relevant adenomas. In all carcinomas and adenomas with high-grade dysplasia (n=10) the SUV{sub max} was {>=}5. This cut-off resulted in a better per-segment sensitivity and negative predictive value (NPV) than the average PET/CT reviews (sensitivity: 89% vs. 82%; NPV: 99% vs. 98%). All other tested cut-offs were inferior to the SUV{sub max}. FDG-PET/CT provides promising accuracy for colorectal mass detection. Low dose and lack of iodine contrast in the CT component do not impact the accuracy. The PET cut-off SUV{sub max}{>=} 5 improves the accuracy. (orig.)

  17. FACTORS AFFECTING THE HYDRAULIC BARRIER PERFORMANCE OF SOIL-BENTONITE MIXTURE CUT-OFF WALL

    Science.gov (United States)

    Takai, Atsushi; Inui, Toru; Katsumi, Takeshi; Kamon, Masashi; Araki, Susumu

    Containment technique using cut-off walls is a valid method against contaminants in subsurface soil and/or groundwater. This paper states laboratory testing results on hydraulic barrier performance of Soil-Bentonite (SB), which is made by mixing bentonite with in-situ soil. Since the bentonite swelling is sensitive to chemicals, chemical compatibility is important for the hydraulic barrier performance of SB. Hydraulic conductivity tests using flexible-wall permeameter were conducted on SB specimens with various types and concentrations of chemicals in the pore water and/or in the permeant and with various bentonite powder contents. As a result, hydraulic barrier performance of SB was influenced by the chemical concentration in the pore water of original soil and bentonite powder content. In the case that SB specimens have damage parallel to the permeating direction, no significant leakage in the SB occurs by the self-sealing property of SB. In addition, the hydraulic conductivity values of SB have excellent correlation with their plastic indexes and swelling pr essures, thus these properties of SB have some possibility to be indicators for estimation of the hydraulic barrier performance of SB.

  18. Evaluation of an Optimal Cut-Off Point for the Ki-67 Index as a Prognostic Factor in Primary Breast Cancer: A Retrospective Study.

    Directory of Open Access Journals (Sweden)

    Rumiko Tashima

    Full Text Available The Ki-67 index is an important biomarker for indicating the proliferation of cancer cells and is considered to be an effective prognostic factor for breast cancer. However, a standard cut-off point for the Ki-67 index has not yet been established. Therefore, the aim of this retrospective study was to determine an optimal cut-off point in order to establish it as a more accurate prognostic factor. Immunohistochemical analysis of the Ki-67 index was performed on 4329 patients with primary breast cancer from August 1987 to March 2012. Out of this sample, there were 3186 consecutive cases from September 1997 with simultaneous evaluations of ER, PgR and HER2 status. Cox's proportional hazard model was used to perform univariate and multivariate analyses of the factors related to OS. The hazard ratios (HR and the p values were then compared to determine the optimal cut-off point for the Ki-67 index. The median Ki-67 index value was 20.5% (mean value 26.2%. The univariate analysis revealed that there was a statistically significant negative correlation with DFS and OS and the multivariate analysis revealed that the Ki-67 index value was a significant factor for DFS and OS. The top seven cut-off points were then carefully chosen based on the results of the univariate analysis using the lowest p-values and the highest HR as the main selection criteria. The multivariate analysis of the factors for OS showed that the cut-off point of 20% had the highest HR in all of the cases. However, the cutoff point of 20% was only a significant factor for OS in the Luminal/HER2- subtype. There was no correlation between the Ki-67 index value and OS in any of the other subtypes. These data indicate that the optimal cut-off point of 20% is the most effective prognostic factor for Luminal/HER2- breast cancer.

  19. Secondary proton production at small atmospheric depths as a function of the geomagnetic cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Papini, P. [Florence Univ. (Italy)]|[INFN, Florence (Italy); Grimani, C. [Perugia Univ. (Italy)]|[INFN, Perugia (Italy); Stephens, S.A. [Tata Institute of Fundamental Research, Bombay (International Commission on Radiation Units and Measurements)

    1995-09-01

    A detailed calculation of the energy spectrum of secondary protons in the atmosphere is being carried out in the energy range 20 MeV - 40 GeV. In this calculation, it is taken into account all processes leading to the production of secondary protons as a function of the atmospheric depth has been calculated using all relevant energy loss processes. In this paper, it is examine the effect of the geomagnetic cut-off on the spectral shape of secondary protons specially at energies below the geomagnetic cut-off for small atmospheric depths.

  20. CFT dual of the AdS Dirichlet problem : Fluid/Gravity on cut-off surfaces

    CERN Document Server

    Brattan, Daniel K; Loganayagam, R; Rangamani, Mukund

    2011-01-01

    We study the gravitational Dirichlet problem in AdS spacetimes with a view to understanding the boundary CFT interpretation. We define the problem as bulk Einstein's equations with Dirichlet boundary conditions on fixed timelike cut-off hypersurface. Using the fluid/gravity correspondence, we argue that one can determine non-linear solutions to this problem in the long wavelength regime. On the boundary we find a conformal fluid with Dirichlet constitutive relations, viz., the fluid propagates on a `dynamical' background metric which depends on the local fluid velocities and temperature. This boundary fluid can be re-expressed as an emergent hypersurface fluid which is non-conformal but has the same value of the shear viscosity as the boundary fluid. The hypersurface dynamics arises as a collective effect, wherein effects of the background are transmuted into the fluid degrees of freedom. Furthermore, we demonstrate that this collective fluid is forced to be non-relativistic below a critical cut-off radius in...

  1. Suppressing the weakly bound states in the photoassociation dynamics by using a frequency cut-off laser pulse

    Institute of Scientific and Technical Information of China (English)

    Lin Feng; Zhang Wei; Zhao Ze-Yu; Cong Shu-Lin

    2012-01-01

    The photoassociation dynamics of ultracold lithium atoms controlled by a cut-off pulse has been investigated theoretically by solving numerically the time-dependent Schr(o)dinger equation using the mapped Fourier grid method.The frequency components of the laser pulse close to the atomic resonance are partly cut off.Compared with the typical Gauss-type pulses,the cut-off pulse is helpful to suppress efficiently the weakly bound states and prepare the associated molecules in the lower vibrational states.Especially,the dependence of photoassociation probability on the cut-off position of the laser pulse is explored.

  2. Cut-off points of the visceral adiposity index (VAI identifying a visceral adipose dysfunction associated with cardiometabolic risk in a Caucasian Sicilian population

    Directory of Open Access Journals (Sweden)

    Amato Marco C

    2011-10-01

    Full Text Available Abstract Background The Visceral Adiposity Index (VAI is a sex-specific mathematical index, based on Waist Circumference (WC, Body Mass Index (BMI, triglycerides (TG and HDL cholesterol (HDL levels, indirectly expressing visceral adipose function and insulin sensitivity. Our aim was to find the optimal cut-off points of VAI identifying a visceral adipose dysfunction (VAD associated with cardiometabolic risk in a Caucasian Sicilian population. Methods Medical check-up data of 1,764 Primary Care patients (PC patients were retrospectively and cross-sectionally examined using a receiver-operating characteristic (ROC curve to determine appropriate stratified-for-age cut-off of VAI, for the identification of PC patients with Metabolic Syndrome (MetS according to the NCEP-ATP III criteria. The PC patients with higher VAI scores were subdivided into three groups according to VAI tertiles (i.e. PC patients with mild VAD, moderate VAD or severe VAD. Finally, VAD classes were compared to classical cardio- and cerebrovascular risk factors as independent predictors of coronary heart disease and/or myocardial infarction, transient ischemic attack and/or ischemic stroke. Results Moderate and severe VADs proved to be independently associated with cardiovascular events [(OR: 5.35; 95% CI: 1.92-14.87; p = 0.001 and (OR: 7.46; 95% CI: 2.64-21.05; p Conclusions Our study suggests that among Caucasian Sicilian subjects there are clear cut-off points of VAI able to identify a VAD strongly associated with cardiometabolic risk.

  3. A New Regularization Mechanism for the Boltzmann Equation Without Cut-Off

    Science.gov (United States)

    Silvestre, Luis

    2016-11-01

    We apply recent results on regularity for general integro-differential equations to derive a priori estimates in Hölder spaces for the space homogeneous Boltzmann equation in the non cut-off case. We also show an a priori estimate in {L^∞} which applies in the space inhomogeneous case as well, provided that the macroscopic quantities remain bounded.

  4. Poverty and cutting off the power: Evaluation of the social contract of the Electricite de France

    International Nuclear Information System (INIS)

    Measures put in place by the French Electric Utility, Electricite de France (EDF) to assist those in default of payment of their electricity bills are evaluated. When introduced in 1996, it was expected that the new measures would reduce the necessity of cutting off power to the poor by one third. Notwithstanding these expectations and some progress in reducing the rate of power cut-off, the number of instances where service was denied, has risen. The evaluation is based on the annual survey of poor clients of the EDF undertaken by the Polling Institute Lavialle. The annual survey concerns itself chiefly with the attitude towards the service and the quality of dialogue between the Utility and its clients. The analysis resulted in three conclusions: (1) EDF appears to make progress in dealing with the problem based on evidence of higher client satisfaction and lower rate of cutting off power; (2) there is evidence of important beneficial changes in the policies of local EDF centres; and (3) there is noticeable evidence of improved coordination with social services agencies and higher quality of information made available; both these factors should contribute to higher client satisfaction. In general, EDF is to be congratulated for their efforts to date, for commissioning the survey and for participating in the evaluation. Nevertheless, in France the instances of cutting off electricity to poor households is still a fact of life, despite the commitment and the new measures put in place by EDF. 21 refs., 7 tabs., 1 fig

  5. Raised BMI cut-off for overweight in Greenland Inuit – a review

    Directory of Open Access Journals (Sweden)

    Stig Andersen

    2013-08-01

    Full Text Available Background. Obesity is associated with increased morbidity and premature death. Obesity rates have increased worldwide and the WHO recommends monitoring. A steep rise in body mass index (BMI, a measure of adiposity, was detected in Greenland from 1963 to 1998. Interestingly, the BMI starting point was in the overweight range. This is not conceivable in a disease-free, physically active, pre-western hunter population. Objective. This led us to reconsider the cut-off point for overweight among Inuit in Greenland. Design and findings. We found 3 different approaches to defining the cut-off point of high BMI in Inuit. First, the contribution to the height by the torso compared to the legs is relatively high. This causes relatively more kilograms per centimetre of height that increases the BMI by approximately 10% compared to Caucasian whites. Second, defining the cut-off by the upper 90-percentile of BMI from height and weight in healthy young Inuit surveyed in 1963 estimated the cut-off point to be around 10% higher compared to Caucasians. Third, if similar LDL-cholesterol and triglycerides are assumed for a certain BMI in Caucasians, the corresponding BMI in Inuit in both Greenland and Canada is around 10% higher. However, genetic admixture of Greenland Inuit and Caucasian Danes will influence this difference and hamper a clear distinction with time. Conclusion. Defining overweight according to the WHO cut-off of a BMI above 25 kg/m2 in Greenland Inuit may overestimate the number of individuals with elevated BMI.

  6. WAIST CIRCUMFERENCE AS INDICATOR COMPONENTS OF METABOLIC SYNDROME IN THE SIBERIAN POPULATION

    Directory of Open Access Journals (Sweden)

    G. I. Simonova

    2014-01-01

    Full Text Available Object of research: to determine the cut-off point of waist circumference (WC identify the components of metabolic syndrome (MS in a large industrial center of Western Siberia.In the period from 2003 to 2005 in the screening population surveyed 9362 people, including 4268 men (45.6% and 5094 women (54.4%.The response rate was 61%. The study protocol included a sociodemographic data, measurement of blood pressure (BP, anthropometry (height, weight, WC, the definition of biochemical parameters. Statistical analysis was performed using the package SPSS. To determine the cut-off points of the used ROC model.In the group with ≥2 components of MS cut-off point WC from the men was 93.3 cm (sensitivity 72%, specificity 83%, women – 90.2 cm (sensitivity 72%, specificity 62%.The lowest cut-off point WC marked BP ≥ 130/85 mm Hg for men – 90 cm (sensitivity 66.8%, specificity 58.1%, for women – 86.5 cm (sensitivity 71.0%, specificity 55.7%. The highest cut-off point from the defined patients with diabetes for men was 99.0 cm (sensitivity 61%, specificity 70.2%, for women – cm (sensitivity 64.1%, specificity 65.9%.Conclusions: Cut-off point from the persons with the presence of ≥2 MS components in Siberian population 45–69 years, in accordance with the ROC analysis are 93.3 cm for men and 90.2 cm for women. The lowest cut-off point WC marked BP ≥ 130/85 mm Hg for men – 90 cm, for women – 86.5 cm. The highest cut-off point from the defined patients with diabetes for men was 99.0 cm, for women – 95 cm.

  7. Potential interface slip analysis of Peribonka Dam plastic concrete cut-off wall

    Energy Technology Data Exchange (ETDEWEB)

    Morency, J.Y.; Chahde, J.; Bigras, A. [Hydro-Quebec, Montreal, PQ (Canada); Garand, P.; Rattue, A. [SNC-Lavalin Inc., Montreal, PQ (Canada)

    2006-07-01

    The Peribonka hydroelectric development is currently under construction near the confluence of the Manouane River with the Peribonka River in Quebec. It includes an 80 m high dam and two dykes of zoned earth fills with a till core, an underground power house with an installed capacity of 385 MW, a diversion tunnel and a spillway. The Peribonka dam will be built on a highly permeable alluvial foundation. The design includes a 10 m high working platform in the river between the cofferdams and a plastic concrete cut-off wall (COW) down to bedrock. The maximum depth of the COW in a narrow canyon will be 115 m. A bi-dimensional finite element stress and deformation analysis software (SDAS) was used to model the stress-strain behaviour of the foundation soils and the COW under the dam. The SDAS software made it possible to determine the vertical deformations as well as the horizontal stress distribution in the foundation soils. It was shown that due to the oedometric nature of the loading of the soil, no significant shear stress was generated due to the soil deformations in the foundation below the axis of the dam. However, the finite element program did not allow hyperbolic model slip elements. As such, it was not possible to evaluate if negative skin friction occurred at the soilplastic concrete interface. For that reason, a one-dimensional model allowing the simulation of negative or positive friction between the soil and the COW was developed. This model considered the elastic-plastic behaviour of the COW using a hyperbolic model. It showed that nowhere, except in the upper 2 to 3 m of the COW embedment in the core, was negative friction able to mobilize the full value of the internal friction angle of the soil. 4 refs., 1 tab., 9 figs.

  8. A cautionary note about the cross-national and clinical validity of cut-off points for the Maslach Burnout Inventory.

    Science.gov (United States)

    Schaufeli, W B; Van Dierendonck, D

    1995-06-01

    In the present study, burnout scores of three samples, as measured with the Maslach Burnout Inventory, were compared: (1) the normative American sample from the test-manual (N = 10,067), (2) the normative Dutch sample (N = 3,892), and (3) a Dutch outpatient sample (N = 142). Generally, the highest burnout scores were found for the outpatient sample, followed by the American and Dutch normative samples, respectively. Slightly different patterns were noted for each of the three components. Probably sampling bias, i.e., the healthy worker effect, or cultural value patterns, i.e., femininity versus masculinity, might be responsible for the results. It is concluded that extreme caution is required when cut-off points are used to classify individuals by burnout scores; only nation-specific and clinically derived cut-off points should be employed.

  9. Mathematical model of processes in cut-off leaking steam generator as a part of operating ship reactor

    International Nuclear Information System (INIS)

    A mathematical model of processes in cut-off leaking steam generator of an operating ship reactor was presented. The model describes the coolant pressure increasing when filling the heat pipes system of cut-off leaking direct-flow steam generator, and allows estimating the time lag before putting restrictions on power maneuvering of the ship reactor

  10. On a holographic dark energy model with a Nojiri-Odintsov cut-off in general relativity

    CERN Document Server

    Khurshudyan, M

    2016-01-01

    In this paper we consider the models of the accelerated expanding large scale universe~(according to general relativity) containing a generalized holographic dark energy with a Nojiri - Odintsov cut - off. The second component of the darkness is assumed to be the pressureless cold dark matter according to observed symmetries of the large scale universe. Moreover, we assume specific forms of the interaction between these two components and besides the cosmographic analysis, we discuss appropriate results from $Om$ and $Om3$ analysis and organize a closer look to the models via the statefinder hierarchy analysis, too. In this way we study mainly impact of the interaction on the dynamics of the background of our universe~(within specific forms of interaction). To complete the cosmographic analysis, the present day values of the statefinder parameters $(r,s)$ and $(\\omega^{\\prime}_{de}, \\omega_{de})$ has been estimated for all cases and the validity of the generalized second law of thermodynamics is demonstrated....

  11. NUMERICAL SIMULATION OF 3-D TURBULENT FLOWS IN A CUT-OFF VALVE AND ANALYSIS OF FLOW CHARACTERISTICS IN PIPE

    Institute of Scientific and Technical Information of China (English)

    He Zhi-guo; Mao Gen-hai; Yuan Xing-ming

    2003-01-01

    The 3-D turbulent flows in a valve pipe were described by the incompressible Reynolds-averaged Navier-Stokes equations with an RNG k-ε turbulence model. With the finite volume method and a body-fitted coordinate system, the discretised equations were solved by the SIMPLEST algorithm. The numerical result of a cut-off valve with curved inlet shows the flow characteristics and the main cause of energy loss when fluid flows through a valve. And then, the boundaries of valve were modified in order to reduce the energy loss. The computational results of modified valve show that the numerical value of turbulent kinetic energy is lower, and that the modified design of the 3-D valve boundaries is much better. The analysis of the result also shows that RNG k-ε turbulence model can successfully be used to predict the 3-D turbulent separated flows and the secondary flow inside valve pipes.

  12. "Cut-off" effect of antioxidants and/or probes of variable lipophilicity in microheterogeneous media.

    Science.gov (United States)

    Aliaga, Carolina; López de Arbina, Amaia; Rezende, Marcos Caroli

    2016-09-01

    The activities of two hydrophilic (ascorbic acid and Trolox) and two hydrophobic (α-tocopherol and BHT) antioxidants were measured by reaction with a series of 4-alkanoyloxyTEMPO radical probes 1 in buffered (pH 7), aqueous, micellar solutions of reduced Triton-X 100. In all cases, a cut-off effect was observed, in line with previous observations of the same effect for the partitioning of probe series 1 in this medium. These results support an interpretation of the cut-off effect in food emulsions, based on the "amphiphobic" nature of either the antioxidants or probes: competition between two molecular moieties, for the micellar hydrophobic core, tends to expose a reacting fragment differently to a more hydrophilic microenvironment, as the probe or antioxidant hydrophobicity increases. PMID:27041306

  13. Fast beam cut-off method in RF-knockout extraction for spot-scanning

    CERN Document Server

    Furukawa, T

    2002-01-01

    An irradiation method with magnetic scanning has been developed in order to provide accurate irradiation even for an irregular target shape. The scanning method has strongly required a lower ripple of the beam spill and a faster response to beam-on/off in slow extraction from a synchrotron ring. At HIMAC, RF-knockout extraction has utilized a bunched beam to reduce the beam-spill ripple. Therefore, particles near the resonance can be spilled out from the separatrices by synchrotron oscillation as well as by a transverse RF field. From this point of view, a fast beam cut-off method has been proposed and verified by both simulations and experiments. The maximum delay from the beam cut-off signal to beam-off has been improved to around 60 mu s from 700 mu s by a usual method. Unwanted dose has been considerably reduced by around a factor of 10 compared with that by the usual method.

  14. Methodological issues in the design of a rheumatoid arthritis activity score and its cut-offs

    Directory of Open Access Journals (Sweden)

    Collignon O

    2014-07-01

    Full Text Available Olivier Collignon Centre de Recherche Public de la Santé (CRP-Santé, Competences Centre for Methodology and Statistics (CCMS, Strassen, Luxembourg Abstract: Activity of rheumatoid arthritis (RA can be evaluated using several scoring scales based on clinical features. The most widely used one is the Disease Activity Score involving 28 joint counts (DAS28 for which cut-offs were proposed to help physicians classify patients. However, inaccurate scoring can lead to inappropriate medical decisions. In this article some methodological issues in the design of such a score and its cut-offs are highlighted in order to further propose a strategy to overcome them. As long as the issues reviewed in this article are not addressed, results of studies based on standard disease activity scores such as DAS28 should be considered with caution. Keywords: DAS28, disease activity score, penalized logistic regression, clinical prediction, modeling

  15. Edge plasmons and cut-off behavior of graphene nano-ribbon waveguides

    Science.gov (United States)

    Hou, Haowen; Teng, Jinghua; Palacios, Tomás; Chua, Soojin

    2016-07-01

    Graphene nano-ribbon waveguides with ultra-short plasmon wavelength are a promising candidate for nanoscale photonic applications. Graphene edge plasmons are the fundamental and lowest losses mode. Through finite element method, edge plasmons show large effective refractive index and strong field confinement on nanoscale ribbons. The edge plasmons follow a k1/2 dispersion relation. The wavelengths of the edge plasmons and center plasmons differ by a fixed factor. The width of edge plasmon is inversely proportional to wave vector of edge plasmon kedge. Edge defects associate with graphene nano-ribbon induce extra losses and reduce the propagation length. Cut-off width of edge plasmons reduces with increasing frequency. Cut-off width of center plasmon is enlarged by edge component but the enlargement effect diminishing with the increase of kedge. The results are important for the application of graphene plasmon towards ultra-compact photonic devices.

  16. Interacting Entropy-Corrected Holographic Dark Energy and IR Cut-Off Length

    Science.gov (United States)

    Sadeghi, J.; Pourhassan, B.; Abbaspour Moghaddam, Z.

    2014-01-01

    In this paper we consider holographic dark energy model with corrected holographic energy density and show that this model may be equivalent to the modified Chaplygin gas model. Then we obtain relation between entropy corrected holographic dark energy model and scalar field models. We do these works by using choices of IR cut-off length proportional to the Hubble radius, the event horizon radius, the Ricci length, and the Granda-Oliveros length.

  17. Interacting Entropy-Corrected Holographic Dark Energy and IR Cut-Off Length

    CERN Document Server

    Sadeghi, J; Moghaddam, Z Abbaspour

    2013-01-01

    In this paper we consider holographic dark energy model with corrected holographic energy density and show that this model may be equivalent to the modified Chaplygin gas model. Then we obtain relation between entropy corrected holographic dark energy model and scalar field models. We do these works by using choices of IR cut-off length proportional to the Hubble radius, the event horizon radius, the Ricci length, and the Granda-Oliveros length.

  18. Optimal waist-to-height ratio values for cardiometabolic risk screening in an ethnically diverse sample of South African urban and rural school boys and girls.

    Directory of Open Access Journals (Sweden)

    Tandi E Matsha

    Full Text Available BACKGROUND: The proposed waist-to-height ratio (WHtR cut-off of 0.5 is less optimal for cardiometabolic risk screening in children in many settings. The purpose of this study was to determine the optimal WHtR for children from South Africa, and investigate variations by gender, ethnicity and residence in the achieved value. METHODS: Metabolic syndrome (MetS components were measured in 1272 randomly selected learners, aged 10-16 years, comprising of 446 black Africans, 696 mixed-ancestry and 130 Caucasians. The Youden's index and the closest-top-left (CTL point approaches were used to derive WHtR cut-offs for diagnosing any two MetS components, excluding the waist circumference. RESULTS: The two approaches yielded similar cut-off in girls, 0.465 (sensitivity 50.0, specificity 69.5, but two different values in boys, 0.455 (42.9, 88.4 and 0.425 (60.3, 67.7 based on the Youden's index and the CTL point, respectively. Furthermore, WHtR cut-off values derived differed substantially amongst the regions and ethnic groups investigated, whereby the highest cut-off was observed in semi-rural and white children, respectively, Youden's index0.505 (31.6, 87.1 and CTL point 0.475 (44.4, 75.9. CONCLUSION: The WHtR cut-off of 0.5 is less accurate for screening cardiovascular risk in South African children. The optimal value in this setting is likely gender and ethnicity-specific and sensitive to urbanization.

  19. Evaluation of novel large cut-off ultrafiltration membranes for adenovirus serotype 5 (Ad5 concentration.

    Directory of Open Access Journals (Sweden)

    Piergiuseppe Nestola

    Full Text Available The purification of virus particles and viral vectors for vaccine and gene therapy applications is gaining increasing importance in order to deliver a fast, efficient, and reliable production process. Ultrafiltration (UF is a widely employed unit operation in bioprocessing and its use is present in several steps of the downstream purification train of biopharmaceuticals. However, to date few studies have thoroughly investigated the performance of several membrane materials and cut-offs for virus concentration/diafiltration. The present study aimed at developing a novel class of UF cassettes for virus concentration/diafiltration. A detailed study was conducted to evaluate the effects of (i membrane materials, namely polyethersulfone (PES, regenerated cellulose (RC, and highly cross-linked RC (xRC, (ii nominal cut-off, and (iii UF device geometry at different production scales. The results indicate that the xRC cassettes with a cut-off of approximately 500 kDa are able to achieve a 10-fold concentration factor with 100% recovery of particles with a process time twice as fast as that of a commercially available hollow fiber. DNA and host cell protein clearances, as well as hydraulic permeability and fouling behavior, were also assessed.

  20. Evaluation of novel large cut-off ultrafiltration membranes for adenovirus serotype 5 (Ad5) concentration.

    Science.gov (United States)

    Nestola, Piergiuseppe; Martins, Duarte L; Peixoto, Cristina; Roederstein, Susanne; Schleuss, Tobias; Alves, Paula M; Mota, José P B; Carrondo, Manuel J T

    2014-01-01

    The purification of virus particles and viral vectors for vaccine and gene therapy applications is gaining increasing importance in order to deliver a fast, efficient, and reliable production process. Ultrafiltration (UF) is a widely employed unit operation in bioprocessing and its use is present in several steps of the downstream purification train of biopharmaceuticals. However, to date few studies have thoroughly investigated the performance of several membrane materials and cut-offs for virus concentration/diafiltration. The present study aimed at developing a novel class of UF cassettes for virus concentration/diafiltration. A detailed study was conducted to evaluate the effects of (i) membrane materials, namely polyethersulfone (PES), regenerated cellulose (RC), and highly cross-linked RC (xRC), (ii) nominal cut-off, and (iii) UF device geometry at different production scales. The results indicate that the xRC cassettes with a cut-off of approximately 500 kDa are able to achieve a 10-fold concentration factor with 100% recovery of particles with a process time twice as fast as that of a commercially available hollow fiber. DNA and host cell protein clearances, as well as hydraulic permeability and fouling behavior, were also assessed.

  1. Spectral geometry with a cut-off: topological and metric aspects

    CERN Document Server

    D'Andrea, Francesco; Martinetti, Pierre

    2013-01-01

    Inspired by regularization in quantum field theory, we study topological and metric properties of spaces in which a cut-off is introduced. We work in the framework of noncommutative geometry, and focus on Connes distance associated to a spectral triple (A,H,D). A high momentum (short distance) cut-off is implemented by the action of a projection P on the Dirac operator D and/or on the algebra A. This action induces two new distances. We first individuate conditions making them equivalent to the original distance. We then study the Gromov-Hausdorff limit of the set of truncated states, first for quantum metric spaces in the sense of Rieffel, and then for arbitrary spectral triples. In the commutative case, we show that the cut-off induces a minimal length between points, which is infinite if P has finite rank. When P is a spectral projection of D, we work out an approximation of points by non-pure states that are at finite distance from each other. We apply the results to Moyal plane and to the fuzzy sphere, o...

  2. The Development of Appropriate Waist-to-Hip Ratio Cut- off Points: Survey in Large Iranian Adult Population

    Directory of Open Access Journals (Sweden)

    A.S. Jahanlou

    2015-07-01

    Full Text Available Introduction & Objective: Proportion of Waist-to-Hip Ratio (WHR is an indicator of abdominal obesity, which is supported by some studies but rejected by others. The aim of this study was to examine the accuracy of the WHR and obtain suitable cut- off points for detecting obesity among adult Iranians. Materials & Methods: In this cross-sectional-descriptive study the sample consisted of 19366 adults. The data collection took place from 2009 to 2014, using Bioelectrical Impedance Analysis (BIA. The following data were obtained: WHR, Percentile of Body Fat (PBF, To-tal Fat (TF, and Soft Lean Mass (SLM. Sensitivity and specificity, based on World Health Organization’s Gold Standards were calculated for both sexes at three age groups. The data analysis included t-test, chi-square, ROC curve, and linear regression. Results: All study variables were correlated with each other. Age was only correlated with the WHR. Percentages of sensitivity and Negative Predictive Value (NPV were 84.2% and 85.6% in women; 21% and 50.7% in men. Increase in age was associated with increase in sensitivity in men and women, and NPV in men. The suitable cut-off points for men and women were found to be 87.5% and 83.5%, respectively. Conclusion: Waist-to-Hip ration is a suitable indictor of obesity for Iranian women but not men, especially among those who are under 59 years old. (Sci J Hamadan Univ Med Sci 2015; 22 (2: 144-151

  3. Ultrahigh energy neutrinos scattering off relic light neutrinos to explain UHECR above GZK cut off and thin blazars

    CERN Document Server

    Fargion, D; Fargion, Daniele; Mele, Barbara

    1999-01-01

    UHE neutrinos may transfer highest cosmic-rays energies overcoming $2.75K^\\circ$ BBR and radio-waves opacities (the GZK cut off) from most distant AGN sources at the age of the Universe. These UHE $\

  4. On-site raw gas cut-off during the shut down of Baosteel phase I coke ovens

    Institute of Scientific and Technical Information of China (English)

    ZHOU Haizhong

    2015-01-01

    The preparation and implementation of raw coke oven gas cut-off,which was the key process involved with shutting down the Baosteel phase I coke ovens,were investigated,and the main technical points and countermeasures are presented.

  5. On the discovery of the Greisen–Zatzepin–Kuzmin cut-off

    Indian Academy of Sciences (India)

    Tadeusz Wibig

    2009-11-01

    The recent claim of the `5 sigma' observation of the Greisen–Zatzepin–Kuzmin cut-off by the HiRes group based on their nine years data is a significant step towards the eventual solution of one of the most intriguing questions in physics for more than 40 years. Recent results from Pierre Auger Observatory seem to confirm the statement. However, the word `significance' is used in the mentioned paper in a sense which is not quite obvious. In the present paper we argue that this claim is a little premature.

  6. Dimensional versus cut-off renormalization and the nucleon-nucleon interaction

    CERN Document Server

    Ghosh, A; Talukdar, B; Ghosh, Angsula; Adhikari, Sadhan K.

    1998-01-01

    The role of dimensional regularization is discussed and compared with that of cut-off regularization in some quantum mechanical problems with ultraviolet divergence in two and three dimensions with special emphasis on the nucleon-nucleon interaction. Both types of renormalizations are performed for attractive divergent one- and two-term separable potentials, a divergent tensor potential, and the sum of a delta function and its derivatives. We allow energy-dependent couplings, and determine the form that these couplings should take if equivalence between the two regularization schemes is to be enforced. We also perform renormalization of an attractive separable potential superposed on an analytic divergent potential.

  7. Dimensional versus cut-off renormalization and the nucleon-nucleon interaction

    Science.gov (United States)

    Ghosh, Angsula; Adhikari, Sadhan K.; Talukdar, B.

    1998-10-01

    The role of dimensional regularization is discussed and compared with that of cut-off regularization in some quantum mechanical problems with ultraviolet divergence in two and three dimensions with special emphasis on the nucleon-nucleon interaction. Both types of renormalizations are performed for attractive divergent one- and two-term separable potentials, a divergent tensor potential, and the sum of a delta function and its derivatives. We allow energy-dependent couplings, and determine the form that these couplings should take if equivalence between the two regularization schemes is to be enforced. We also perform renormalization of an attractive separable potential superposed on an analytic divergent potential.

  8. Sensitivity studies of spin cut-off models on fission fragment observables

    Science.gov (United States)

    Thulliez, L.; Litaize, O.; Serot, O.

    2016-03-01

    A fission fragment de-excitation code, FIFRELIN, is being developed at CEA Cadarache. It allows probing the characteristics of the prompt emitted particles, neutrons and gammas, during the de-excitation process of fully accelerated fission fragments. The knowledge of the initial states of the fragments is important to accurately reproduce the fission fragment observables. In this paper a sensitivity study of various spin cut-off models, completely defining the initial fission fragment angular momentum distribution has been performed. This study shows that the choice of the model has a significant impact on gamma observables such as spectrum and multiplicity and almost none on the neutron observables.

  9. Sensitivity studies of spin cut-off models on fission fragment observables

    Directory of Open Access Journals (Sweden)

    Thulliez L.

    2016-01-01

    Full Text Available A fission fragment de-excitation code, FIFRELIN, is being developed at CEA Cadarache. It allows probing the characteristics of the prompt emitted particles, neutrons and gammas, during the de-excitation process of fully accelerated fission fragments. The knowledge of the initial states of the fragments is important to accurately reproduce the fission fragment observables. In this paper a sensitivity study of various spin cut-off models, completely defining the initial fission fragment angular momentum distribution has been performed. This study shows that the choice of the model has a significant impact on gamma observables such as spectrum and multiplicity and almost none on the neutron observables.

  10. Aligning DNA on Si surface and cutting off by tips of atomic force microscope

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    DNA is a kind of promising molecule as nano-lead to build or connect nano-devices due to its stable linear structure and certain conductivity. Many methods have been applied to constructing nano-patterns by using DNA molecule. In this report it is presented that (-DNA was aligned on Si substrate by using the free-flowing method and then imaged by an atomic force microscope (AFM). After the second liquid flow, a catenary-like pattern and a crossed network of -DNA were formed. In addition, the aligned (-DNA was successfully cut off by tips of AFM.

  11. Effect of the magnetospheric DCF and DR current systems of on cosmic ray geomagnetic cut-off rigidities in Forbush effect event periods in June and August 1972

    International Nuclear Information System (INIS)

    The effect of magnetospheric DCF and DR current systems on regidity of geomagnetic cut-off of cosmic rays (CR) in the periods of Forbush effect in June and August,1972 is considered. It is shown that magnetospheric CR effects conditioned by DCF and DR current fields are opposite in sign and comparable in value during strong disturbances of solar wind velocity. Belts of the most probable current localization in the process of development and evolution of magnetospheric DR current exist in the distances: 4R3(R3-Earth radius) and GR3 in the June event and about 2R3, 4R3 and GR3 in the August event

  12. Open Skies and monitoring a fissile materials cut-off treaty

    International Nuclear Information System (INIS)

    The Treaty on Open Skies (Open Skies) is intended among other things to provide, in the words of its preamble, means ''to facilitate the monitoring of compliance with existing or future arms control agreements.'' Open Skies permits overflights of the territory of member states by aircraft equipped with an array of sensors of various types. Their types and capabilities are treaty-limited. To find useful application in monitoring a cut-off treaty Open Skies would need to be amended. The number of signatories would need to be expanded so as to provide greater geographical coverage, and restrictions on sensor-array capabilities would need to be relaxed. To facilitate the detection of impending violations of a cut-off convention by Open Skies overflights, the data base provided by parties to the former should include among other things an enumeration of existing and former fuel cycle and research facilities including those converted to other uses, their precise geographic location, and a site plan

  13. Revisiting AdS/CFT at a finite radial cut-off

    CERN Document Server

    Mandal, Gautam

    2016-01-01

    We revisit AdS/CFT at finite radial cut-off, specifically in the context of double trace perturbations, $\\mathbb{O}_n$= $\\mathbb{O}(x) (\\partial^2)^{n} {\\mathcal O}(x)$, with arbitrary $n$. As well-known, the standard GKPW prescription, applied to a finite radial cut-off, leads to contact terms in correlators. de Haro et al \\cite{deHaro:2000vlm} introduced bulk counterterms to remove these. However, this prescription yields additional terms in the correlator corresponding to spurious double trace deformations. Further, if we view GKPW prescription coupled with the prescription in \\cite{deHaro:2000vlm}, in terms of a boundary wavefunction, we find that it is incompatible with radial Schrodinger evolution (in the spirit of holographic Wilsonian RG). We consider a more general wavefunction satisfying the Schrodinger equation, and find that generically such wavefunctions generate both (a) double trace deformations and (b) contact terms. However, we find that there exist special choices of these wavefunctions, amo...

  14. Determining a diagnostic cut-off on the Teate Depression Inventory

    Directory of Open Access Journals (Sweden)

    Balsamo M

    2014-06-01

    Full Text Available Michela Balsamo, Aristide SagginoDepartment of Psychological Sciences, Humanities and Territory, G. d’Annunzio University of Chieti-Pescara, Chieti, ItalyAbstract: A small but growing body of literature suggests that the Teate Depression ­Inventory (TDI may be an “objective” measure of depression compared with other commonly used scales. Furthermore, the TDI has strong psychometric properties in both clinical and nonclinical samples. The present study aimed to extend the use of TDI by identifying cut-off scores that could differentiate varying levels of depression severity in a group of clinically diagnosed depression disorder patients (N=125. Three receiver operating characteristic curve analyses indicated cut-off scores of 21 (sensitivity =0.86, specificity =0.94, and classification accuracy =0.90; 36 (sensitivity =0.84, specificity =0.96, and classification accuracy =0.92; and 50 (sensitivity =0.81, specificity =0.93, and classification accuracy =0.90, for minimal, mild, moderate, and severe depression, respectively. Results suggest that the TDI measures depression severity across a broad range with high test accuracy and may be appropriately used to screen for depression.Keywords: major depression, ROC curve, self-report scales, Rasch analysis, depression screening

  15. The cut-off criterion for a positive hydrogen breath test in children: a reappraisal.

    Science.gov (United States)

    Solomons, N W; Barillas, C

    1986-01-01

    Seventy-three preschool children with adequate nutritional status underwent interval-sampling, 3-hour breath-hydrogen carbohydrate absorption tests after consuming either 240 ml of intact milk (containing 12 g of lactose) or the same volume of milk with 90-95% of its lactose prehydrolyzed in vitro (containing less than 1 g lactose, with the remaining sugar as glucose and galactose). Results were examined in a reappraisal of the cut-off criterion for the rise of breath H2 concentration signifying biologically incomplete absorption. If the greater than or equal to 10-ppm criterion advocated by some investigators is used, 83% of our subjects would have been classified as incomplete lactose digesters and 30% would have their tests with the monosaccharide-rich milk classified as positive. With the greater than or equal to 20 ppm criterion used in our laboratory and others, the prevalence of lactose maldigestion in the sample becomes 60% and only 4% of subjects have apparent monosaccharide absorption, 96% having a rise below the cut-off level with prehydrolyzed milk. At least in Guatemalan preschoolers, the 20-ppm criterion for a positive breath H2 test provides a superior specificity-sensitivity balance and more reasonable diagnostic conclusions. PMID:3794911

  16. Proceedings from the Fissile Material Cut-off seminar in Stockholm

    International Nuclear Information System (INIS)

    The Swedish Defence Research Establishment hosted an international expert seminar on the subject of verifying a prohibition of the production of fissile material for nuclear weapons purpose (cut-off) in Stockholm, June 3-5 1998. The objective of the seminar was to provide an opportunity for informal discussions among scientific and technical experts on various technical matters relating to the verification of a future Fissile Material Cut-off Treaty (FMCT). A stated aim of the seminar was to keep issues of scope to a minimum. Invited speakers and commentators were given an opportunity to present their views as written contributions. The present seminar proceedings are essentially the result of these views. In addition, short summaries of the discussions following each session are included. Although an attempt was made to be as complete and accurate as possible in reproducing these discussions, the editors apologise if some important points or statements have been omitted. If so, the main reason is that the documentation of the discussions were based on written notes, not taped recordings. Eight longer contributions have been separately indexed

  17. Proceedings from the Fissile Material Cut-off seminar in Stockholm

    Energy Technology Data Exchange (ETDEWEB)

    Arbman, G. [ed.

    1998-07-01

    The Swedish Defence Research Establishment hosted an international expert seminar on the subject of verifying a prohibition of the production of fissile material for nuclear weapons purpose (cut-off) in Stockholm, June 3-5 1998. The objective of the seminar was to provide an opportunity for informal discussions among scientific and technical experts on various technical matters relating to the verification of a future Fissile Material Cut-off Treaty (FMCT). A stated aim of the seminar was to keep issues of scope to a minimum. Invited speakers and commentators were given an opportunity to present their views as written contributions. The present seminar proceedings are essentially the result of these views. In addition, short summaries of the discussions following each session are included. Although an attempt was made to be as complete and accurate as possible in reproducing these discussions, the editors apologise if some important points or statements have been omitted. If so, the main reason is that the documentation of the discussions were based on written notes, not taped recordings. Eight longer contributions have been separately indexed.

  18. Optimal cut-off points on the health anxiety inventory, illness attitude scales and whiteley index to identify severe health anxiety.

    Directory of Open Access Journals (Sweden)

    Erik Hedman

    Full Text Available Health anxiety can be viewed as a dimensional phenomenon where severe health anxiety in form of DSM-IV hypochondriasis represents a cut-off where the health anxiety becomes clinically significant. Three of the most reliable and used self-report measures of health anxiety are the Health Anxiety Inventory (HAI, the Illness Attitude Scales (IAS and the Whiteley Index (WI. Identifying the optimal cut-offs for classification of presence of a diagnosis of severe health anxiety on these measures has several advantages in clinical and research settings. The aim of this study was therefore to investigate the HAI, IAS and WI as proximal diagnostic instruments for severe health anxiety defined as DSM-IV hypochondriasis.We investigated sensitivity, specificity and predictive value on the HAI, IAS and WI using a total of 347 adult participants of whom 158 had a diagnosis of severe health anxiety, 97 had obsessive-compulsive disorder and 92 were healthy non-clinical controls. Diagnostic assessments were conducted using the Anxiety Disorder Interview Schedule.Optimal cut-offs for identifying a diagnosis of severe health anxiety was 67 on the HAI, 47 on the IAS, and 5 on the WI. Sensitivity and specificity were high, ranging from 92.6 to 99.4%. Positive and negative predictive values ranged from 91.6 to 99.4% using unadjusted prevalence rates.The HAI, IAS and WI have very good properties as diagnostic indicators of severe health anxiety and can be used as cost-efficient proximal estimates of the diagnosis.

  19. Appropriate body mass index cut-offs to determine thinness, overweight and obesity in South Asian children in the Netherlands.

    Directory of Open Access Journals (Sweden)

    Jeroen A de Wilde

    Full Text Available BACKGROUND: Asian populations have an increased risk of developing cardiometabolic disorders at a lower body mass index (BMI than other ethnic groups. Therefore, lower adult BMI cut-offs to determine overweight and obesity are recommended to assess the associated health risks for Asian (23 and 27.5 kg/m(2 respectively and Asian Indian (23, 25 kg/m(2 populations. The objective of this study was to develop BMI cut-offs for thinness, overweight, and obesity for South Asian children in the Netherlands, and to compare the BMI cut-offs and distribution with an Asian Indian reference, the WHO Child Growth Reference, and universal BMI cut-offs. METHODS: A reference cohort of 546 Surinamese South Asian boys and 521 girls, born between 1974-1976 (during the pre-obesity era with 3408 and 3267 BMI measurements respectively, was retrospectively analysed. BMI-for-age charts were created with the LMS method. BMI centile curves passing through the cut-off points of 15 (thinness, 23 (overweight, 25 and 27.5 kg/m(2 (obesity at 18y were drawn as cut-off levels. RESULTS: The BMI of Surinamese South Asian children had a similar distribution to the Asian Indian reference, apart from a lower mean and less variation. The BMI distribution differed considerably from the WHO reference and universal BMI criteria. The calculated BMI cut-offs corresponding to a BMI of 15, 23, 25, and 27.5 kg/m(2 at 18y were at the 7.1, 81.1, 89.8, and 95.5 percentile respectively in boys, and at the 2.7, 79.5, 89.2, and 95.2 percentile in girls. CONCLUSIONS: This is the first study proposing BMI cut-offs for South Asian children based on measurements from a prosperous population unaffected by the obesity epidemic. We recommend the use of these cut-offs in South Asian children in the Netherlands as these better reflect the health risks associated with thinness, overweight and obesity, and therefore may prevent the development of cardiometabolic disorders.

  20. On the newtonian limit and cut--off scales of isothermal dark matter halos with cosmological constant

    CERN Document Server

    Sussman, R A; Sussman, Roberto A.; Hernandez, Xavier

    2003-01-01

    We examine isothermal dark matter halos in hydrostatic equilibrium with a cosmological constant Lambda =Omega_\\Lambda rho_{crit}c^2, where Omega_\\Lambda=0.7, and rho_{crit} is the present value of the critical density with h=0.65. The Newtonian limit of General Relativity yields equilibrium equations that are different from those arising by merely coupling an ``isothermal sphere'' to the Lambda-field within a Newtonian framework. The conditions for the existence and stability of circular geodesic orbits show the existence of (I) an ``isothermal region'' (0r_1) dominated by the Lambda-field, where the Newtonian potential oscillates and circular orbits exist in disconnected patches of the domain of r; (III) a ``transition region'' (r_20.008 M_\\odot {pc}^3, in agreement with rotation curve studies of dwarf galaxies. Since r_2 marks the largest radius of a stable circular orbit, it provides a ``cut off'' radius. For current estimates of rho_c and velocity dispersion of galactic structures, this is around five tim...

  1. On a holographic dark energy model with a Nojiri-Odintsov cut-off in general relativity

    Science.gov (United States)

    Khurshudyan, Martiros

    2016-07-01

    In this paper we consider the models of the accelerated expanding large scale universe (according to general relativity) containing a generalized holographic dark energy with a Nojiri-Odintsov cut-off. The second component of the darkness is assumed to be the pressureless cold dark matter according to observed symmetries of the large scale universe. Moreover, we assume specific forms of the interaction between these two components and besides the cosmographic analysis, we discuss appropriate results from Om and Om3 analysis and organize a closer look to the models via the statefinder hierarchy analysis, too. In this way we study mainly impact of the interaction on the dynamics of the background of our universe (within specific forms of interaction). To complete the cosmographic analysis, the present day values of the statefinder parameters (r,s) and (ω^'_{de}, ω_{de}) has been estimated for all cases and the validity of the generalized second law of thermodynamics is demonstrated. Our study showed that theoretical results from considered phenomenological models are consistent with the available observational data and symmetries.

  2. Dynamical behavior and cut-off frequency of Si/SiGe microcoolers

    Science.gov (United States)

    Ezzahri, Y.; Dilhaire, S.; Patiño-Lopez, L. D.; Grauby, S.; Claeys, W.; Bian, Z.; Zhang, Y.; Shakouri, A.

    2007-01-01

    Solid-state microcoolers offer an attractive way to solve some of the problems related to temperature stabilisation and control, not only in optoelectronic and microelectronic applications, but also in biological applications where specimens require cooling. One of the important parameters of these coolers is their transient response or their cut-off frequency. We studied how this parameter is influenced by material properties (e.g., substrate and superlattice layer thermal diffusivities), and by geometrical factors (e.g., microcooler cross sectional area or thickness). Our models are based on a modified Thermal Quadrupole Method, which only takes the Peltier effect into account; the reason behind the modification is that the Peltier and Joule effects are uncorrelated in the frequency domain, so their contributions can be studied separately. The thermophysical properties of the microcooler are assumed to be temperature independent. The effect of the top side heat leakage on the performance of the microcooler is also presented.

  3. Estimation of cut-off wavelength of rare earth doped single-mode fibers

    Science.gov (United States)

    Kaur, Jagneet; Thyagarajan, K.; Pal, B. P.

    1999-11-01

    A new empirical relation is proposed describing spectral variation of mode-field radius (MFR) as inferred from measurements in the far-field of the fiber. It is shown that using this relation, it is possible to estimate the cut-off wavelength ( λc) of the fiber. The proposed technique is successfully tested through measurements made on two standard step index single-mode fibers, as well as on an erbium doped fiber (EDF) having λc falling within its strong absorption band around 980 nm. This empirical formula is more accurate than the widely used Marcuse's formula to describe spectral dependence of MFR determined through measurements made in the fiber's far-field. The proposed technique is especially suited for estimation of λc of doped fibers in which λc falls within an absorption band.

  4. The Warm DM halo mass function below the cut-off scale

    CERN Document Server

    Angulo, Raul E; Abel, Tom

    2013-01-01

    Warm Dark Matter (WDM) cosmologies are a viable alternative to the Cold Dark Matter (CDM) scenario. Unfortunately, an accurate scrutiny of the WDM predictions with N-body simulations has proven difficult due to numerical artifacts. Here, we report on cosmological simulations that, for the first time, are devoid of those problems, and thus, are able to accurately resolve the WDM halo mass function well below the cut-off. We discover a complex picture, with perturbations at different evolutionary stages populating different ranges in the halo mass function. On the smallest mass scales we can resolve, identified objects are typically centres of filaments that are starting to collapse. On intermediate mass scales, objects typically correspond to fluctuations that have collapsed and are in the process of relaxation, whereas the high mass end is dominated by objects similar to haloes identified in CDM simulations. When explicitly show how the formation of low-mass haloes is suppressed, which translates into a stron...

  5. Percentile curves for body fatness and cut-offs to define malnutrition in Russians

    International Nuclear Information System (INIS)

    Here, we report first results of the large-scale ongoing bioelectrical impedance body composition study in Russians. By the end of 2012, 216 out of 800 Russian Health Centres submitted raw bioimpedance data on 844,221 adults and children aged 5–80 years, representing nearly 0.6% of the Russian population, who were accessed cross-sectionally using the same type of bioimpedance meter, ABC-01 Medas. Estimates of overweight, obesity, and normal weight obesity prevalence in the general population, as well as characteristics of diagnostic sensitivity and specificity of the conventional WHO BMI-based criteria of obesity depending on age are obtained. The smoothed reference centile curves for percentage fat mass are constructed, and localized cut-offs for fatness and thinness are provided that can be used both at the individual and epidemiological levels.

  6. Percentile curves for body fatness and cut-offs to define malnutrition in Russians

    Science.gov (United States)

    Nikolaev, D. V.; Rudnev, S. G.; Starunova, O. A.; Eryukova, T. A.; Kolesnikov, V. A.; Ponomareva, E. G.; Soboleva, N. P.; Sterlikov, S. A.

    2013-04-01

    Here, we report first results of the large-scale ongoing bioelectrical impedance body composition study in Russians. By the end of 2012, 216 out of 800 Russian Health Centres submitted raw bioimpedance data on 844,221 adults and children aged 5-80 years, representing nearly 0.6% of the Russian population, who were accessed cross-sectionally using the same type of bioimpedance meter, ABC-01 Medas. Estimates of overweight, obesity, and normal weight obesity prevalence in the general population, as well as characteristics of diagnostic sensitivity and specificity of the conventional WHO BMI-based criteria of obesity depending on age are obtained. The smoothed reference centile curves for percentage fat mass are constructed, and localized cut-offs for fatness and thinness are provided that can be used both at the individual and epidemiological levels.

  7. Role of neutron and proton system in spin cut off parameter and entropy of {sup 89,90}Y

    Energy Technology Data Exchange (ETDEWEB)

    Rahmatinejad, A. [Department of Physics, Faculty of Science, University of Zanjan, Zanjan (Iran, Islamic Republic of); Razavi, R., E-mail: rrazavin@ihu.ac.ir [Physics Department, Faculty of Science, Imam Hossein Comprehensive University, Tehran (Iran, Islamic Republic of); Kakavand, T. [Department of Physics, Faculty of Science, Imam Khomeini International University, Qazvin (Iran, Islamic Republic of)

    2015-09-15

    The nuclear level densities, entropies and spin cut off parameters have been determined in {sup 89,90}Y nuclei using the BCS model with inclusion of pairing interaction. The results have a good agreement with the recent experimental data on the level densities measured by the Oslo group. In addition, the entropy excess of {sup 90}Y compared to {sup 89}Y as a function of temperature has been extracted. Also, the role of neutron and proton systems in the entropy excess as well as the spin cut off excess have been investigated using the entropy excess ratio and spin cut off excess ratio introduced in our previous publication. The role of the neutron system at low temperatures, the temperatures below critical temperature, in the semi-magic nucleus {sup 89}Y is similar compared to the closed shell proton system in the tin isotopes.

  8. Role of neutron and proton system in spin cut off parameter and entropy of 89,90Y

    Science.gov (United States)

    Rahmatinejad, A.; Razavi, R.; Kakavand, T.

    2015-09-01

    The nuclear level densities, entropies and spin cut off parameters have been determined in 89,90Y nuclei using the BCS model with inclusion of pairing interaction. The results have a good agreement with the recent experimental data on the level densities measured by the Oslo group. In addition, the entropy excess of 90Y compared to 89Y as a function of temperature has been extracted. Also, the role of neutron and proton systems in the entropy excess as well as the spin cut off excess have been investigated using the entropy excess ratio and spin cut off excess ratio introduced in our previous publication. The role of the neutron system at low temperatures, the temperatures below critical temperature, in the semi-magic nucleus 89Y is similar compared to the closed shell proton system in the tin isotopes.

  9. Sucrose hydrolysis by invertase using a membrane reactor: effect of membrane cut-off on enzyme performance

    Directory of Open Access Journals (Sweden)

    Francesco Di Addezio

    2014-04-01

    Full Text Available Sucrose hydrolysis by invertase [EC.3.2.1.26] produces inverted sugar syrup, an ingredient mainly used in the food industry. To properly catalyze hydrolysis, the enzyme should be reused after this reaction. It is advisable to maintain constant activity over a considerable period. Thus, sucrose hydrolysis was performed in a membrane bioreactor - a continuously stirred tank reactor coupled with an ultrafiltration membrane (UFM which provides good diffusion and high activity per unit volume. Molecular weight cut-off for soluble invertase UFMs was up to 100kDa. This study focused on the role of UFM invertase cut-off as it is the main element in the process. We demonstrated that both the cut-off and chemical nature of the UFM affected specific invertase activity.

  10. Fixed Cut-Off for FEV1/FEV6 and FEV6 in Detection of Obstructive and Restrictive Patterns

    OpenAIRE

    Aghili, Rokhsareh; Kia, Maryam; Meysamie, Alipasha; Aghili, Seyed Mojtaba; Paknejad, Omalbanin

    2013-01-01

    Background Chronic obstructive pulmonary diseases (COPD) have been defined by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) as irreversible conditions which are diagnosed by fixed cut-off points of FEV1/FVC. Objective The aim of this study was to determine the cut-off points for FEV1/FEV6 ratio and FEV6 as alternatives for FEV1/FVC and FVC in detection of airway obstruction and lung restriction, respectively. Materials and Methods A total of 318 Spiro metric examinations o...

  11. Current MUAC Cut-Offs to Screen for Acute Malnutrition Need to Be Adapted to Gender and Age: The Example of Cambodia.

    Directory of Open Access Journals (Sweden)

    Marion Fiorentino

    Full Text Available Early identification of children 5 yrs. Therefore, this study aimed at defining gender and age-specific cut-offs to improve sensitivity of MUAC as an indicator of acute malnutrition.To establish new age and gender-specific MUAC cut-offs, pooled data was obtained for 14,173 children from 5 surveys in Cambodia (2011-2013. Sensitivity, false positive rates, and areas under receiver-operator characteristic curves (AUC were calculated using wasting for children 80% with the new cut-offs in comparison with the current WHO cut-offs.Gender and age specific MUAC cut-offs drastically increased sensitivity to identify children with WHZ-score <-2 z-scores. International reference of MUAC cut-offs by age group and gender should be established to screen for acute malnutrition at the community level.

  12. Triceps and Subscapular Skinfold Thickness Percentiles and Cut-Offs for Overweight and Obesity in a Population-Based Sample of Schoolchildren and Adolescents in Bogota, Colombia.

    Science.gov (United States)

    Ramírez-Vélez, Robinson; López-Cifuentes, Mario Ferney; Correa-Bautista, Jorge Enrique; González-Ruíz, Katherine; González-Jiménez, Emilio; Córdoba-Rodríguez, Diana Paola; Vivas, Andrés; Triana-Reina, Hector Reynaldo; Schmidt-RioValle, Jacqueline

    2016-01-01

    The assessment of skinfold thickness is an objective measure of adiposity. The aims of this study were to establish Colombian smoothed centile charts and LMS L (Box-Cox transformation), M (median), and S (coefficient of variation) tables for triceps, subscapular, and triceps + subscapular skinfolds; appropriate cut-offs were selected using receiver operating characteristic (ROC) analysis based on a population-based sample of children and adolescents in Bogotá, Colombia. A cross-sectional study was conducted in 9618 children and adolescents (55.7% girls; age range of 9-17.9 years). Triceps and subscapular skinfold measurements were obtained using standardized methods. We calculated the triceps + subscapular skinfold (T + SS) sum. Smoothed percentile curves for triceps and subscapular skinfold thickness were derived using the LMS method. ROC curve analyses were used to evaluate the optimal cut-off point of skinfold thickness for overweight and obesity, based on the International Obesity Task Force definitions. Subscapular and triceps skinfolds and T + SS were significantly higher in girls than in boys (p < 0.001). The ROC analysis showed that subscapular and triceps skinfolds and T + SS have a high discriminatory power in the identification of overweight and obesity in the sample population in this study. Our results provide sex- and age-specific normative reference standards for skinfold thickness values from a population from Bogotá, Colombia. PMID:27669294

  13. Triceps and Subscapular Skinfold Thickness Percentiles and Cut-Offs for Overweight and Obesity in a Population-Based Sample of Schoolchildren and Adolescents in Bogota, Colombia

    Science.gov (United States)

    Ramírez-Vélez, Robinson; López-Cifuentes, Mario Ferney; Correa-Bautista, Jorge Enrique; González-Ruíz, Katherine; González-Jiménez, Emilio; Córdoba-Rodríguez, Diana Paola; Vivas, Andrés; Triana-Reina, Hector Reynaldo; Schmidt-RioValle, Jacqueline

    2016-01-01

    The assessment of skinfold thickness is an objective measure of adiposity. The aims of this study were to establish Colombian smoothed centile charts and LMS L (Box–Cox transformation), M (median), and S (coefficient of variation) tables for triceps, subscapular, and triceps + subscapular skinfolds; appropriate cut-offs were selected using receiver operating characteristic (ROC) analysis based on a population-based sample of children and adolescents in Bogotá, Colombia. A cross-sectional study was conducted in 9618 children and adolescents (55.7% girls; age range of 9–17.9 years). Triceps and subscapular skinfold measurements were obtained using standardized methods. We calculated the triceps + subscapular skinfold (T + SS) sum. Smoothed percentile curves for triceps and subscapular skinfold thickness were derived using the LMS method. ROC curve analyses were used to evaluate the optimal cut-off point of skinfold thickness for overweight and obesity, based on the International Obesity Task Force definitions. Subscapular and triceps skinfolds and T + SS were significantly higher in girls than in boys (p < 0.001). The ROC analysis showed that subscapular and triceps skinfolds and T + SS have a high discriminatory power in the identification of overweight and obesity in the sample population in this study. Our results provide sex- and age-specific normative reference standards for skinfold thickness values from a population from Bogotá, Colombia. PMID:27669294

  14. Prevalence of abdominal obesity in Spanish children and adolescents. Do we need waist circumference measurements in pediatric practice?

    Directory of Open Access Journals (Sweden)

    Helmut Schröder

    Full Text Available BACKGROUND: Evidence indicates that central adiposity has increased to a higher degree than general adiposity in children and adolescents in recent decades. However, waist circumference is not a routine measurement in clinical practice. OBJECTIVE: This study aimed to determine the prevalence of abdominal obesity based on waist circumferences (WC and waist to height ratio (WHtR in Spanish children and adolescents aged 6 to 17 years. Further, the prevalence of abdominal obesity (AO among normal and overweight individuals was analyzed. DESIGN: Data were obtained from a study conducted from 1998 to 2000 in a representative national sample of 1521 children and adolescents aged 6 to 17 years (50.0% female in Spain. WC and WHtR measurements were obtained in addition to BMI. AO was defined as WHtR ≥0.50 (WHtR-AO, sex and age specific WC≥90(th percentile (WC-AO1, and sex and age specific WC cut-off values associated with high trunk fat measured by by dual-energy X-ray absorptiometry (WC-AO2. RESULTS: IOTF- based overweight and obsity prevalence was 21.5% and 6.6% in children and 17.4% and 5.2% in adolescents, respectively. Abdominal obesity (AO was defined as WHtR≥0.50 (WHtR-AO, sex- and age-specific WC≥90th percentile (WC-AO1, and sex- and age-specific WC cut-off values associated with high trunk fat measured by dual-energy X-ray absorptiometry (WC-AO2. The respective prevalence of WHtR-AO, WC-AO1, and WC-AO2 was 21.3% (24.6% boys; 17.9% girls, 9.4% (9.1% boys; 9.7% girls, and 26.8% (30.6% boys;22.9% girls in children and 14.3% (20.0% boys; 8.7% girls, 9.6% (9.8% boys; 9.5% girls, and 21.1% (28.8% boys; 13.7% girls in adolescents. CONCLUSION: The prevalence of AO in Spanish children and adolescents is of concern. The high proportion of AO observed in young patients who are normal weight or overweight indicates a need to include waist circumference measurements in routine clinical practice.

  15. The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE cohort study

    Directory of Open Access Journals (Sweden)

    Koh Young

    2009-12-01

    Full Text Available Abstract Background In Korea, the cutoff values of waist circumference (WC for the identification of metabolic syndrome (MetS were suggested to be 90 cm for men and 85 cm for women based on the analysis mainly in middle-aged adults. As aging is associated with increased fat, especially abdominal visceral fat, the cutoff value of WC may differ according to age. In addition, the usefulness of visceral abdominal fat area (VFA to predict MetS in the elderly has not been studied yet. We aimed to suggest WC and VFA criteria and to compare the predictability of WC and VFA to identify people at risk for MetS. Methods A total of 689 elderly subjects aged ≥63 years (308 men, 381 women were chosen in this cross-sectional study from an ongoing, prospective, population-based study, the Ansan Geriatric (AGE cohort study. VFA was measured by single slice abdominal computed tomography scanning. The metabolic risk factors except WC (plasma glucose, blood pressure, serum triglycerides and HDL cholesterol levels were defined using modified NCEP-ATP III criteria. We estimated the accuracy of VFA and WC for identifying at least two of these factors by receiver operating characteristic (ROC curve analysis. Results Two hundred three of 308 men and 280 of 381 women had ≥2 metabolic risk factors. The area under the ROC curve (AUC value for VFA to predict the presence of ≥2 metabolic risk factors was not significantly different from that for WC (men, 0.735 and 0.750; women, 0.715 and 0.682; AUC values for VFA and WC, respectively. The optimal cutoff points for VFA and WC for predicting the presence of ≥2 metabolic risk factors were 92.6 cm2 and 86.5 cm for men and 88.9 cm2 and 86.5 cm for women. Conclusion WC had comparable power with VFA to identify elderly people who are at risk for MetS. Elderly Korean men and women had very similar cutoff points for both VFA and WC measurements for estimating the risk of MetS. Age-specific cutoff point for WC might be

  16. Appropriate body mass index cut-offs to determine thinness, overweight and obesity in South Asian children in The Netherlands

    NARCIS (Netherlands)

    Wilde, J.A. de; Dommelen, P. van; Middelkoop, B.J.C.

    2013-01-01

    Background: Asian populations have an increased risk of developing cardiometabolic disorders at a lower body mass index (BMI) than other ethnic groups. Therefore, lower adult BMI cut-offs to determine overweight and obesity are recommended to assess the associated health risks for Asian (23 and 27.5

  17. Quantum fields and Poisson processes: interaction of a cut-off boson field with a quantum particle

    Energy Technology Data Exchange (ETDEWEB)

    Bertrand, J.; Rideau, G.; Gaveau, B.

    1985-01-01

    The solution of the Schroedinger equation for a boson field interacting with a quantum particle is written as an expectation on a Poisson process counting the variations of the boson-occupation numbers for each momentum. An energy cut-off is needed for the expectation to be meaningful.

  18. Quantum fields and poisson processes: Interaction of a cut-off boson field with a quantum particle

    Science.gov (United States)

    Bertrand, Jacqueline; Gaveau, Bernard; Rideau, Guy

    1985-01-01

    The solution of the Schrödinger equation for a boson field interacting with a quantum particle is written as an expectation on a Poisson process counting the variations of the boson-occupation numbers for each momentum. An energy cut-off is needed for the expectation to be meaningful.

  19. Cut-off levels and diagnostic accuracy of infliximab trough levels and anti-infliximab antibodies in Crohn's disease

    DEFF Research Database (Denmark)

    Steenholdt, Casper; Bendtzen, Klaus; Brynskov, Jørn;

    2011-01-01

    Reasons for infliximab failure in Crohn's disease and ulcerative colitis are debated. Serum levels of infliximab and anti-infliximab antibodies have been associated with loss of response. We aimed at determining cut-off levels for infliximab and anti-infliximab antibody concentrations associated...

  20. Design and construction of a soil bentonite cut-off wall for Suncor's South Tailings Pond

    Energy Technology Data Exchange (ETDEWEB)

    Stephens, B. [Klohn Crippen Berger Ltd., Calgary, AB (Canada); Bowron, M. [Suncor Energy Inc., Fort McMurray, AB (Canada)

    2010-07-01

    Commissioned in July 2006, Suncor's South Tailings Pond (STP) is an external oil sands tailings storage facility with a footprint of 2300 hectares including infrastructure. The Southwest cut-off wall was completed in 2008, forming one of four principal seepage management systems for the STP. The cut-off wall consists of soil bentonite backfill from native materials from the wall excavation. Construction of the wall utilized both a long-stick back-hoe and crane mounted clamshell to excavate the wall under bentonite slurry. This paper discussed the construction of the cut-off wall as well as the the field and laboratory testing programs that determined the soil-bentonite mix. It also described the quality assurance and quality control programs conducted during construction. Last, the paper provided a brief discussion of the design and construction issues specific to seepage cut-off walls in the oil sands region. It was concluded that while construction of a soil-bentonite wall is a simple process, a professional experienced in the construction of deep walls is essential to achieve a quality product. Technical site support is also needed by the construction team in order to confirm geology, material properties and design assumptions. 1 tab., 5 figs.

  1. Cut-off Characterisation of Energy Spectra of Bright Fermi Sources: Current instrument limits and future possibilities

    CERN Document Server

    Romoli, C; Aharonian, F

    2016-01-01

    In this paper some of the brightest GeV sources observed by the Fermi-LAT were analysed, focusing on their spectral cut-off region. The sources chosen for this investigation were the brightest blazar flares of 3C 454.3 and 3C 279 and the Vela pulsar using catalogue data and reanalysis with the latest Fermi-LAT software. For the study the spectral cut-off we first explored the Vela pulsar spectrum, whose statistics in the 3FGL catalog allowed strong constraints to be obtained on the parameters. We subsequently performed a new analysis of the flaring blazar SEDs. For these sources we obtained constraints on the cut-off parameters under the assumption that their underlying spectral distribution is described by a power-law with a stretched exponential cut-off. We then highlighted the significant potential improvements on such constraints by observations with next generation ground based Cherenkov telescopes, represented in our study by the Cherenkov Telescope Array (CTA). Adopting currently available simulations ...

  2. Fast Modeling of Large Wave Energy Farms Using Interaction Distance Cut-Off

    Directory of Open Access Journals (Sweden)

    Malin Göteman

    2015-12-01

    Full Text Available In many wave energy concepts, power output in the MW range requires the simultaneous operation of many wave energy converters. In particular, this is true for small point-absorbers, where a wave energy farm may contain several hundred devices. The total performance of the farm is affected by the hydrodynamic interactions between the individual devices, and reliable tools that can model full farms are needed to study power output and find optimal design parameters. This paper presents a novel method to model the hydrodynamic interactions and power output of very large wave energy farms. The method is based on analytical multiple scattering theory and uses time series of irregular wave amplitudes to compute the instantaneous power of each device. An interaction distance cut-off is introduced to improve the computational cost with acceptable accuracy. As an application of the method, wave energy farms with over 100 devices are studied in the MW range using one month of wave data measured at an off-shore site.

  3. Detection of cut-off point for rapid automized naming test in good readers and dyslexics

    Directory of Open Access Journals (Sweden)

    Zahra Soleymani

    2014-01-01

    Full Text Available Background and Aim: Rapid automized naming test is an appropriate tool to diagnose learning disability even before teaching reading. This study aimed to detect the cut-off point of this test for good readers and dyslexics.Methods: The test has 4 parts including: objects, colors, numbers and letters. 5 items are repeated on cards randomly for 10 times. Children were asked to name items rapidly. We studied 18 dyslexic students and 18 age-matched good readers between 7 and 8 years of age at second and third grades of elementary school; they were recruited by non-randomize sampling into 2 groups: children with developmental dyslexia from learning disabilities centers with mean age of 100 months, and normal children with mean age of 107 months from general schools in Tehran. Good readers selected from the same class of dyslexics.Results: The area under the receiver operating characteristic curve was 0.849 for letter naming, 0.892 for color naming, 0.971 for number naming, 0.887 for picture naming, and 0.965 totally. The overall sensitivity and specificity was 1 and was 0.79, respectively. The highest sensitivity and specificity were related to number naming (1 and 0.90, respectively.Conclusion: Findings showed that the rapid automized naming test could diagnose good readers from dyslexics appropriately.

  4. Mechanically robust 39 GHz cut-off frequency graphene field effect transistors on flexible substrates.

    Science.gov (United States)

    Wei, Wei; Pallecchi, Emiliano; Haque, Samiul; Borini, Stefano; Avramovic, Vanessa; Centeno, Alba; Amaia, Zurutuza; Happy, Henri

    2016-08-01

    Graphene has been regarded as a promising candidate channel material for flexible devices operating at radio-frequency (RF). In this work we fabricated and fully characterized double bottom-gate graphene field effect transistors on flexible polymer substrates for high frequency applications. We report a record high as-measured current gain cut-off frequency (ft) of 39 GHz. The corresponding maximum oscillation frequency (fmax) is 13.5 GHz. These state of the art high frequency performances are stable against bending, with a typical variation of around 10%, for a bending radius of up to 12 mm. To demonstrate the reliability of our devices, we performed a fatigue stress test for RF-GFETs which were dynamically bend tested 1000 times at 1 Hz. The devices are mechanically robust, and performances are stable with typical variations of 15%. Finally we investigate thermal dissipation, which is a critical parameter for flexible electronics. We show that at the optimum polarization the normalized power dissipated by the GFETs is about 0.35 mW μm(-2) and that the substrate temperature is around 200 degree centigrade. At a higher power, irreversible degradations of the performances are observed. Our study on state of the art flexible GFETs demonstrates mechanical robustness and stability upon heating, two important elements to assess the potential of GFETs for flexible electronics. PMID:27396243

  5. Thickness-Independent Ultrasonic Imaging Applied to Abrasive Cut-Off Wheels: An Advanced Aerospace Materials Characterization Method for the Abrasives Industry. A NASA Lewis Research Center Technology Transfer Case History

    Science.gov (United States)

    Roth, Don J.; Farmer, Donald A.

    1998-01-01

    Abrasive cut-off wheels are at times unintentionally manufactured with nonuniformity that is difficult to identify and sufficiently characterize without time-consuming, destructive examination. One particular nonuniformity is a density variation condition occurring around the wheel circumference or along the radius, or both. This density variation, depending on its severity, can cause wheel warpage and wheel vibration resulting in unacceptable performance and perhaps premature failure of the wheel. Conventional nondestructive evaluation methods such as ultrasonic c-scan imaging and film radiography are inaccurate in their attempts at characterizing the density variation because a superimposing thickness variation exists as well in the wheel. In this article, the single transducer thickness-independent ultrasonic imaging method, developed specifically to allow more accurate characterization of aerospace components, is shown to precisely characterize the extent of the density variation in a cut-off wheel having a superimposing thickness variation. The method thereby has potential as an effective quality control tool in the abrasives industry for the wheel manufacturer.

  6. Comparing the Cervista HPV HR test and Hybrid Capture 2 assay in a Dutch screening population: improved specificity of the Cervista HPV HR test by changing the cut-off.

    Directory of Open Access Journals (Sweden)

    Aniek Boers

    Full Text Available The diagnostic performance of the widely-used Cervista HPV HR test was compared to the Hybrid Capture 2 (HC2 test in a Dutch population-based cervical cancer screening program. In 900 scrapings of women with normal cytomorphology, specificity was 90% (95%CI: 87.84-91.87 for the Cervista HPV HR test and 96% (95%CI: 94.76-97.37 for the HC2 test with 93% agreement between both tests (κ = 0.5, p<0.001. The sensitivity for CIN2+ using 65 scrapings of women with histological-confirmed CIN2+ was 91% (95%CI: 80.97-96.51 for the Cervista HPV HR test and 92% (95%CI: 82.94-97.43 for the HC2 test with 95% agreement between both tests (κ = 0.7, p<0.001. Fifty-seven of 60 HC2 negative/Cervista positive cases tested HPV-negative with PCR-based HPV assays; of these cases 56% were defined as Cervista triple-positive with FOZ values in all 3 mixes higher than the second cut-off of 1.93 (as set by manufacturer. By setting this cut-off at 5.0, specificity improved significantly without affecting sensitivity. External validation of this new cut-off at 5.0 in triple-positive scrapings of women selected from the SHENCCASTII database revealed that 22/24 histological normal cases now tested HPV-negative in the Cervista HPV HR test, while CIN2+ lesions remained HPV-positive. The intra-laboratory reproducibility of the Cervista HPV HR test (n = 510 showed a concordance of 92% and 93% for cut-off 1.93 and 5.0 (κ = 0.83 and κ = 0.84, p<0.001 and inter-laboratory agreement of the Cervista HPV HR test was 90% and 93% for cut-off 1.93 and 5.0 (κ = 0.80 and κ = 0.85, p<0.001. In conclusion, the specificity of the Cervista HPV HR test could be improved significantly by increasing the second cut-off from 1.93 to 5.0, without affecting the sensitivity of the test in a population-based screening setting.

  7. The Objective Borderline Method (OBM): A Probability-Based Model for Setting up an Objective Pass/Fail Cut-Off Score in Medical Programme Assessments

    Science.gov (United States)

    Shulruf, Boaz; Turner, Rolf; Poole, Phillippa; Wilkinson, Tim

    2013-01-01

    The decision to pass or fail a medical student is a "high stakes" one. The aim of this study is to introduce and demonstrate the feasibility and practicality of a new objective standard-setting method for determining the pass/fail cut-off score from borderline grades. Three methods for setting up pass/fail cut-off scores were compared: the…

  8. Mechanically robust 39 GHz cut-off frequency graphene field effect transistors on flexible substrates

    Science.gov (United States)

    Wei, Wei; Pallecchi, Emiliano; Haque, Samiul; Borini, Stefano; Avramovic, Vanessa; Centeno, Alba; Amaia, Zurutuza; Happy, Henri

    2016-07-01

    Graphene has been regarded as a promising candidate channel material for flexible devices operating at radio-frequency (RF). In this work we fabricated and fully characterized double bottom-gate graphene field effect transistors on flexible polymer substrates for high frequency applications. We report a record high as-measured current gain cut-off frequency (ft) of 39 GHz. The corresponding maximum oscillation frequency (fmax) is 13.5 GHz. These state of the art high frequency performances are stable against bending, with a typical variation of around 10%, for a bending radius of up to 12 mm. To demonstrate the reliability of our devices, we performed a fatigue stress test for RF-GFETs which were dynamically bend tested 1000 times at 1 Hz. The devices are mechanically robust, and performances are stable with typical variations of 15%. Finally we investigate thermal dissipation, which is a critical parameter for flexible electronics. We show that at the optimum polarization the normalized power dissipated by the GFETs is about 0.35 mW μm-2 and that the substrate temperature is around 200 degree centigrade. At a higher power, irreversible degradations of the performances are observed. Our study on state of the art flexible GFETs demonstrates mechanical robustness and stability upon heating, two important elements to assess the potential of GFETs for flexible electronics.Graphene has been regarded as a promising candidate channel material for flexible devices operating at radio-frequency (RF). In this work we fabricated and fully characterized double bottom-gate graphene field effect transistors on flexible polymer substrates for high frequency applications. We report a record high as-measured current gain cut-off frequency (ft) of 39 GHz. The corresponding maximum oscillation frequency (fmax) is 13.5 GHz. These state of the art high frequency performances are stable against bending, with a typical variation of around 10%, for a bending radius of up to 12 mm. To

  9. Evaluating the Possibility of Defining Cut-Off Points for ΔFA% in Order to Differentiate Four Major Types of Peri-Tumoral White Matter Tract Involvement

    Directory of Open Access Journals (Sweden)

    Deilami

    2015-07-01

    Full Text Available Background Diffusion tensor imaging (DTI and its different scalar values such as fractional anisotropy (FA have recently been used for evaluation of peri-tumoral white matter (WM involvement to help define safer surgical excision margins. Objectives The purpose of this study is to evaluate the possibility of defining diagnostic cut-off points for differentiating four major types of peri-tumoral WM involvement using FA. Patients and Methods DTI was performed in 12 patients with high presumption of having brain tumors, on a 1.5 T MRI scanner. DTI data was processed by MedINRIA software. Two-hundred region of interests (ROI were evaluated: 100 in the lesion zone and the rest in the normal WM in the contralateral hemisphere. FA value related to each ROI was measured, and the percentage of FA decrement (ΔFAs% was calculated. Results Of the 100 ROIs on the lesion side, 74 were related to high-grade lesions, 23 to low-grade ones, and three to “gliosis”. There were 54 “infiltrated”, 22 “displaced”, 15 “disrupted”, and 9 “edematous” tracts. The major type of fiber involvement, both in low-grade and high-grade tumors was “infiltrated, whereas “edematous” fibers comprised the minority. ΔFA% was more than -35 for “displaced” and “edematous” fibers, and less than -35 for the majority of “disrupted” ones, but “infiltrated” fibers had scattered distribution. Mean ΔFA% was the least for “disrupted”, followed by “infiltrated”, “edematous” and “displaced” parts. Conclusion Introducing definite diagnostic cut-points was not possible, due to overlap. Based on the fact that “disruption” is the most aggressive process, a sensitivity analysis was carried out for “disrupted” fibers for several presumptive cut-off points.

  10. Diagnostic Accuracy of Sixty Four Multi-Slice CT Angiography in Assessment of Arterial Cut-Off and Run-Off in Comparison with Surgical Findings

    Directory of Open Access Journals (Sweden)

    M. Noaparast

    2011-06-01

    Full Text Available Background/Objective: The accurate anatomic mapping and determination of the severity of arterial disease, an important health problem of the elderly, is of great significance. We aimed todetermine the diagnostic value of 64-multislice CT angiography (MSCTA in run-off and cut-off sites of arterial disease.Patients and Methods: Throughout the study, MSCTA followed by an operative intervention was carried out on a total of 38 patients with clinical signs and symptoms suggestive of arterialdisease (AD all of whom had the indication for vascular surgery. The mean age of patients was 34±15.86 (range, 23 to 93 years. MSCTA was executed using a 64-slice CT scanner, during the arterial phase of injecting the nonionic, contrast medium with a power injector at the rate of 5 ml/sec into the antecubital vein and exploration and revascularization of peripheral arterial disease was performed intraoperatively.Results: Atherosclerosis and arterial disease, the most common causes of vascular occlusion,were more common in the lower extremities. According to MSCTA findings, the most frequentsite of stenosis was the superficial femoral artery. Spearman’s correlation coefficient showed a high degree of agreement amongst the raters. The sensitivity, specificity, positive predictivevalue (PPV, negative predictive value (NPV and the accuracy of MSCTA compared to surgery were 83.8%, 96%, 96.8%, 81.3% and 89%, respectively. MSCTA findings were compared with surgeryas a standard of reference, which showed concordance in the majority of cases (81.6%. Cut-off sites were correctly identified by MSCTA in 97.3% of the patients and the most common sites of discordance were the run-off sites (18.2%.Conclusion: MSCTA angiography as a novel diagnostic modality may be a suitable alternative and a viable choice for routine clinical diagnosis.

  11. Factors in selecting serum samples for use in determining the positive/negative threshold (cut-off) in ELISA

    International Nuclear Information System (INIS)

    The threshold (cut-off) that defines whether a test result is seropositive or seronegative is calculated by testing serum samples from a subpopulation of animals that is assumed to represent the target population in all aspects. For this proposition to be true, it is essential to consider the variables in the target population that must be represented in the subpopulation. Without representation of the variables in the subpopulation, it is likely that the cut-off selected for the test will be errant and will misclassify animals as to their infection status. The purpose of this paper is to identify a few of the principal variables that need to be taken into account when selecting a subpopulation of animals for test validation. (author)

  12. Sinus cut-off sign: A helpful sign in the CT diagnosis of diaphragmatic rupture associated with pleural effusion

    Energy Technology Data Exchange (ETDEWEB)

    Kaya, Seyda Ors [Pamukkale University Medical School, Department of Thoracic Surgery, Denizli (Turkey)]. E-mail: skaya@pamukkale.edu.tr; Karabulut, Nevzat [Pamukkale University Medical School, Department of Radiology, Denizli (Turkey); Yuncu, Gokhan [Pamukkale University Medical School, Department of Thoracic Surgery, Denizli (Turkey); Sevinc, Serpil [Pamukkale University Medical School, Department of Thoracic Surgery, Denizli (Turkey); Kiroglu, Yilmaz [Pamukkale University Medical School, Department of Radiology, Denizli (Turkey)

    2006-08-15

    The objective of our study was to describe the 'sinus cut-off' sign at CT in the diagnosis of diaphragmatic rupture in patients with blunt abdominal trauma complicated with pleural effusion, and evaluate its utility in an experimental model. Between January 2004 and March 2005, we observed an unusual interruption of costophrenic sinus at CT in three patients with blunt abdominal trauma accompanied with pleural effusion. This observation prompted us to evaluate the utility of this sign in an experimental model. Laparotomically, we created 2 cm diapragmatic lacerations at each hemidiaphragm in two rabbits and pushed up the abdominal viscera with omentum through the defect. To simulate hemothorax, we also injected 5-10 mL of diluted contrast material into the pleural space. Using a dual-slice helical CT scanner, limited thoracoabdominal CT examination was performed before and after injection of intrapleural contrast material. The images were analyzed for the presence of CT signs for diaphragmatic injury. The left posterior costophrenic sulcus was interrupted in all of the three patients with left pleural effusion. While it was associated with other findings of diaphragmatic injury, the 'sinus cut-off sign' was the sole finding in one patient. The sinus cut-off sign was observed on the CT scans of 100% of the rabbits with a left and right sided diaphragmatic rupture. The 'sinus cut-off sign' is useful and can increase the CT detection of acute diaphragmatic injury associated with pleural effusion.

  13. Improved nonparametric estimation of the optimal diagnostic cut-off point associated with the Youden index under different sampling schemes.

    Science.gov (United States)

    Yin, Jingjing; Samawi, Hani; Linder, Daniel

    2016-07-01

    A diagnostic cut-off point of a biomarker measurement is needed for classifying a random subject to be either diseased or healthy. However, the cut-off point is usually unknown and needs to be estimated by some optimization criteria. One important criterion is the Youden index, which has been widely adopted in practice. The Youden index, which is defined as the maximum of (sensitivity + specificity -1), directly measures the largest total diagnostic accuracy a biomarker can achieve. Therefore, it is desirable to estimate the optimal cut-off point associated with the Youden index. Sometimes, taking the actual measurements of a biomarker is very difficult and expensive, while ranking them without the actual measurement can be relatively easy. In such cases, ranked set sampling can give more precise estimation than simple random sampling, as ranked set samples are more likely to span the full range of the population. In this study, kernel density estimation is utilized to numerically solve for an estimate of the optimal cut-off point. The asymptotic distributions of the kernel estimators based on two sampling schemes are derived analytically and we prove that the estimators based on ranked set sampling are relatively more efficient than that of simple random sampling and both estimators are asymptotically unbiased. Furthermore, the asymptotic confidence intervals are derived. Intensive simulations are carried out to compare the proposed method using ranked set sampling with simple random sampling, with the proposed method outperforming simple random sampling in all cases. A real data set is analyzed for illustrating the proposed method. PMID:26756282

  14. Reconfigurable pyramidal antenna loaded by a cut-off waveguide-application to ARNS/RNSS services

    OpenAIRE

    Hebib, Sami; Aubert, Hervé; Pascal, Olivier; Fonseca, Nelson; Ries, Lionel; Lopez, Jean-Marc

    2009-01-01

    International audience A novel reconfigurable and circularly polarized antenna topology for satellite application services, based on a pyramidal geometry, is proposed. Frequency agility is simply obtained by loading the radiating elements by Radio-Frequency switches. The ground plane of the antenna is perforated and loaded by a cut-off and open-ended waveguide. The length of this waveguide is adjusted to achieve a good trade-off between rear radiation and impedance matching. A specific app...

  15. On a holographic dark energy model with a Nojiri-Odintsov cut-off in general relativity

    OpenAIRE

    Khurshudyan, M.

    2016-01-01

    In this paper we consider the models of the accelerated expanding large scale universe~(according to general relativity) containing a generalized holographic dark energy with a Nojiri - Odintsov cut - off. The second component of the darkness is assumed to be the pressureless cold dark matter according to observed symmetries of the large scale universe. Moreover, we assume specific forms of the interaction between these two components and besides the cosmographic analysis, we discuss appropri...

  16. Successful use of combined high cut-off haemodialysis and bortezomib for acute kidney injury associated with myeloma cast nephropathy.

    LENUS (Irish Health Repository)

    Ward, F

    2012-05-01

    We present the case of a 58-year old female with de novo dialysis-dependent acute kidney injury (AKI) secondary to myeloma cast nephropathy. The patient underwent extended high cut-off haemodialysis (HCO-HD), in conjunction with bortezomib-based chemotherapy, and soon became dialysis independent with normal renal function. To our knowledge, this is the first time this treatment strategy has been employed successfully in an Irish centre.

  17. Relationship between Mid-Upper Arm Circumference and Body Mass Index in Inpatients

    Science.gov (United States)

    Benítez Brito, Néstor; Suárez Llanos, José Pablo; Fuentes Ferrer, Manuel; Oliva García, Jose Gregorio; Delgado Brito, Irina; Pereyra-García Castro, Francisca; Caracena Castellanos, Nieves; Acevedo Rodríguez, Candelaria Xiomara; Palacio Abizanda, Enrique

    2016-01-01

    Introduction Nutritional screening is a fundamental aspect of the initial evaluation of the hospitalised patient. Body Mass Index (BMI) in association with other parameters is a good marker of malnutrition (<18.5 kg/m2), but it presents the handicap that the great majority of patients cannot be weighed and measured. For this reason it is necessary to find other indicators that can be measured in these patients. Objectives 1) Analyse the relationship between BMI and Mid-Upper Arm Circumference (MUAC); 2) establish a cut-off point of MUAC equivalent to BMI <18.5 kg/m2. Materials and Methods The anthropometric data of patients hospitalised over the period 2004–2013 were retrospectively revised. The following variables were collected: weight, height, BMI, MUAC, sex and age. Results 1373 patients were evaluated, who presented a mean weight of: 65.04±15.51 kg; height: 1.66±0.09 m; BMI: 23.48±5.03 kg/m2; MUAC: 26.95±4.50 cm; age: 56.24±16.77. MUAC correlates suitably to BMI by means of the following equation (simple linear regression): BMI = − 0.042 + 0.873 x MUAC (cm) (R2 = 0.609), with a Pearson r value of 0.78 (p<0.001). The area under the curve of MUAC for the diagnosis of malnutrition was 0.92 (95% CI: 0.90–0.94; p<0.001). The MUAC value ≤22.5 cm presented a sensitivity of 67.7%, specificity of 94.5%, and a correct classification of 90%. No significant statistical differences were found in the cut-off point of MUAC for the diagnosis of malnutrition based on sex (p = 0.115) and age (p = 0.694). Conclusions 1) MUAC correlates positively and significantly with BMI. 2) MUAC ≤ 22.5 cm correlates properly with a BMI of <18.5 kg/m2, independent of the age or sex of the patient, although there are other alternatives. MUAC constitutes a useful tool as a marker of malnutrition, fundamentally in patients for whom weight and height cannot be determined. PMID:27494612

  18. Waist circumference and waist-to-height ratio distributions in polish and german schoolchildren: Comparative analysis

    Directory of Open Access Journals (Sweden)

    Tadeusz Nawarycz

    2013-01-01

    Full Text Available Background: To analyze differences in the distributions of waist circumference (WC and waist-to-height ratio (WHtR between Polish (PL and German (GE children and adolescents. Methods: Two samples of children and adolescents aged 7-18 y: From PL ( n = 11,326 GE ( n = 8,218 participated. The two WC cut-off points (WC1 as central fat distribution and WC2 as central obesity corresponding at age 18 to the adult criteria were determined. Furthermore, the mean WC cut-off points (WC1m, WC2m for boys and girls aged 14-18 from both countries were evaluated. For the WHtR, values over 0.5 were used as a definition of central fat distribution. The effect of different WC and WHtR criteria on the prevalence of abdominal obesity in both study groups was evaluated. Results: The mean and percentile values of WC and WHtR were generally higher in all German children as compared to their peers from Poland. When WC1m is used, the mean (95% CI prevalence of central fat distribution in the 14-18 y Polish groups was lower ( P 0.5, the results were similar for boys - 6.7% (5.9-7.5 vs. 8.5% (8.1-8.9; they were significantly ( P < 0.05 lower for Polish and German girls: 5.3% (5.0-5.6 vs. 12.7% (9.7-16.4. The prevalence of central obesity using WC2m as a criterion in the Polish vs. German groups was as follows: (boys - 1.1% (0.8-1.4 vs. 3.1% (2.2-4.0, P < 0.05; girls - 3.1% (2.5-3.7 vs. 10.2% (8.4-12.0, P < 0.05. Conclusions: The results highlight the greater central obesity associated with the German children, both in terms of WC and WHtR, in comparison to their peers from Poland. The prevalence of AO is significantly associated with the criteria used. The results demonstrate the need for the development of international WC references for pediatric subjects.

  19. Power-Law Entropy-Corrected Holographic Dark Energy in Ho\\v{r}ava-Lifshitz Cosmology with Granda-Oliveros Cut-off

    OpenAIRE

    Pasqua, Antonio(Department of Physics, University of Trieste, Via Valerio, No. 2, 34127 Trieste, Italy); Chattopadhyay, Surajit; Myrzakulov, Ratbay

    2015-01-01

    In this paper, we study the Power Law Entropy Corrected Holographic Dark Energy (PLECHDE) model in the framework of a non-flat Universe and of Ho\\v{r}ava-Lifshitz cosmology with infrared cut-off given by recently proposed Granda-Oliveros cut-off, which contains one term proportional to the Hubble parameter squared $H^2$ and one term proportional to the first time derivative of the Hubble parameter $\\dot{H}$. Moreover, this cut-off is characterized by two constant parameters, $\\alpha$ and $\\be...

  20. Efficacy of mid-upper arm circumference in identification, follow-up and discharge of malnourished children during nutrition rehabilitation

    Science.gov (United States)

    De Steur, Hans; Gellynck, Xavier; Saeed, Hibbah Araba; Makokha, Anselimo

    2015-01-01

    BACKGROUND/OBJECTIVES Although it is crucial to identify those children likely to be treated in an appropriate nutrition rehabilitation programme and discharge them at the appropriate time, there is no golden standard for such identification. The current study examined the appropriateness of using Mid-Upper Arm Circumference for the identification, follow-up and discharge of malnourished children. We also assessed its discrepancy with the Weight-for-Height based diagnosis, the rate of recovery, and the discharge criteria of the children during nutrition rehabilitation. SUBJECTS/METHODS The study present findings from 156 children (aged 6-59 months) attending a supplementary feeding programme at Makadara and Jericho Health Centres, Eastern District of Nairobi, Kenya. Records of age, weight, height and mid-upper arm circumference were selected at three stages of nutrition rehabilitation: admission, follow-up and discharge. The values obtained were then used to calculate z-scores as defined by WHO Anthro while estimating different diagnostic indices. RESULTS Mid-upper arm circumference single cut-off (< 12.5 cm) was found to exhibit high values of sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio at both admission and discharge. Besides, children recorded higher rate of recovery at 86 days, an average increment of 0.98 cm at the rate of 0.14mm/day, and a weight gain of 13.49gm/day, albeit higher in female than their male counterparts. Nevertheless, children admitted on basis of low MUAC had a significantly higher MUAC gain than WH at 0.19mm/day and 0.13mm/day respectively. CONCLUSIONS Mid-upper arm circumference can be an appropriate tool for identifying malnourished children for admission to nutrition rehabilitation programs. Our results confirm the appropriateness of this tool for monitoring recovery trends and discharging the children thereafter. In principle the tool has potential

  1. Power-law and Logarithmic Entropy Corrected Holographic Dark Energy Models in Brans-Dicke Cosmology with Granda-Oliveros Cut-Off

    OpenAIRE

    Pasqua, Antonio(Department of Physics, University of Trieste, Via Valerio, No. 2, 34127 Trieste, Italy); Chattopadhyay, Surajit; Myrzakulov, Ratbay

    2015-01-01

    In this paper, the cosmological implications of the Power Law Entropy Corrected Holographic Dark Energy (PLECHDE) and the Logarithmic Entropy Corrected Holographic Dark Energy (LECHDE) models in the context of Brans-Dicke (BD) cosmology for both non-interacting and interacting DE and Dark Matter (DM) are studied. As the system infrared cut-off, we choose the recently proposed Granda-Oliveros cut-off, which contains a term proportional to the first time derivative of the Hubble parameter and o...

  2. Optimal Cut-Off Points on the Health Anxiety Inventory, Illness Attitude Scales and Whiteley Index to Identify Severe Health Anxiety

    OpenAIRE

    Erik Hedman; Mats Lekander; Brjánn Ljótsson; Nils Lindefors; Christian Rück; Gerhard Andersson; Erik Andersson

    2015-01-01

    Background Health anxiety can be viewed as a dimensional phenomenon where severe health anxiety in form of DSM-IV hypochondriasis represents a cut-off where the health anxiety becomes clinically significant. Three of the most reliable and used self-report measures of health anxiety are the Health Anxiety Inventory (HAI), the Illness Attitude Scales (IAS) and the Whiteley Index (WI). Identifying the optimal cut-offs for classification of presence of a diagnosis of severe health anxiety on thes...

  3. Interpretation of increments in serial tumour biomarker concentrations depends on the distance of the baseline concentration from the cut-off

    DEFF Research Database (Denmark)

    Petersen, Per Hyltoft; Söletormos, Georg; Frejstrup Pedersen, Merete;

    2011-01-01

    In the management of breast cancer, several algorithms for interpretation of measured concentrations during monitoring have been introduced, without objective evaluation of their performance regarding the distance of the starting concentration from the cut-off concentration.......In the management of breast cancer, several algorithms for interpretation of measured concentrations during monitoring have been introduced, without objective evaluation of their performance regarding the distance of the starting concentration from the cut-off concentration....

  4. Accuracy and cut-off point selection in three-class classification problems using a generalization of the Youden index.

    Science.gov (United States)

    Nakas, Christos T; Alonzo, Todd A; Yiannoutsos, Constantin T

    2010-12-10

    We study properties of the index J(3), defined as the accuracy, or the maximum correct classification, for a given three-class classification problem. Specifically, using J(3) one can assess the discrimination between the three distributions and obtain an optimal pair of cut-off points c(1)sum of the correct classification proportions will be maximized. It also serves as the generalization of the Youden index in three-class problems. Parametric and non-parametric approaches for estimation and testing are considered and methods are applied to data from an MRS study on human immunodeficiency virus (HIV) patients.

  5. Detecting outliers and/or leverage points: a robust two-stage procedure with bootstrap cut-off points

    Directory of Open Access Journals (Sweden)

    Ettore Marubini

    2014-01-01

    Full Text Available This paper presents a robust two-stage procedure for identification of outlying observations in regression analysis. The exploratory stage identifies leverage points and vertical outliers through a robust distance estimator based on Minimum Covariance Determinant (MCD. After deletion of these points, the confirmatory stage carries out an Ordinary Least Squares (OLS analysis on the remaining subset of data and investigates the effect of adding back in the previously deleted observations. Cut-off points pertinent to different diagnostics are generated by bootstrapping and the cases are definitely labelled as good-leverage, bad-leverage, vertical outliers and typical cases. The procedure is applied to four examples.

  6. {sup 18}F-FDG PET/CT for detection of malignant peripheral nerve sheath tumours in neurofibromatosis type 1: tumour-to-liver ratio is superior to an SUV{sub max} cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Salamon, Johannes [University Medical Centre Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); University Hospital Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); Veldhoen, Simon [University Medical Centre Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); University Medical Centre Wuerzburg, Department of Diagnostic and Interventional Radiology, Wuerzburg (Germany); Apostolova, Ivayla [Otto-von-Guericke University, Department of Radiology and Nuclear Medicine, Magdeburg (Germany); Bannas, Peter; Yamamura, Jin; Herrmann, Jochen; Adam, Gerhard; Derlin, Thorsten [University Medical Centre Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); Friedrich, Reinhard E. [University Medical Centre Hamburg-Eppendorf, Department of Oral and Maxillofacial Surgery, Hamburg (Germany); Mautner, Victor F. [University Medical Centre Hamburg-Eppendorf, Department of Neurology, Hamburg (Germany)

    2014-02-15

    To evaluate the usefulness of normalising intra-tumour tracer accumulation on {sup 18}F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) to reference tissue uptake for characterisation of peripheral nerve sheath tumours (PNSTs) in neurofibromatosis type 1 (NF1) compared with the established maximum standardised uptake value (SUVmax) cut-off of >3.5. Forty-nine patients underwent FDG PET/CT. Intra-tumour tracer uptake (SUVmax) was normalised to three different reference tissues (tumour-to-liver, tumour-to-muscle and tumour-to-fat ratios). Receiver operating characteristic (ROC) analyses were used out to assess the diagnostic performance. Histopathology and follow-up served as the reference standard. Intra-tumour tracer uptake correlated significantly with liver uptake (r{sub s} = 0.58, P = 0.016). On ROC analysis, the optimum threshold for tumour-to-liver ratio was >2.6 (AUC = 0.9735). Both the SUVmax cut-off value of >3.5 and a tumour-to-liver ratio >2.6 provided a sensitivity of 100 %, but specificity was significantly higher for the latter (90.3 % vs 79.8 %; P = 0.013). In patients with NF1, quantitative {sup 18}F-FDG PET imaging may identify malignant change in neurofibromas with high accuracy. Specificity could be significantly increased by using the tumour-to-liver ratio. The authors recommend further evaluation of a tumour-to-liver ratio cut-off value of >2.6 for diagnostic intervention planning. (orig.)

  7. Cut-off scaling of high-harmonic generation driven by a femtosecond visible optical parametric amplifier

    International Nuclear Information System (INIS)

    We studied high-harmonic generation (HHG) in Ar, Ne and He gas jets using a broadly tunable, high-energy optical parametric amplifier (OPA) in the visible wavelength range. We optimized the noncollinear OPA to deliver tunable, femtosecond pulses with 200-500 µJ energy at the 1 kHz repetition rate with excellent spatiotemporal properties, suitable for HHG experiments. By tuning the central wavelength of the OPA while keeping other parameters (energy, duration and beam size) constant, we experimentally studied the scaling law of cut-off energy with the driver wavelength in helium. Our measurements show a λ1.7+0.2 dependence of the HHG cut-off photon energy over the full visible range in agreement with previous experiments of near- and mid-IR wavelengths. By tuning the central wavelength of the driver source, the high-order harmonic spectra in the extreme ultraviolet cover the full range of photon energy between ∼25 and ∼100 eV. Due to the high coherence intrinsic in HHG, as well as the broad and continuous tunability in the extreme UV range, a high energy, high repetition rate version of this source might be an ideal seed for free electron lasers.

  8. STS-114: Engine Cut-Off Sensors Are a No-Go: Teaching Notes for NASA Case Study

    Science.gov (United States)

    Ransom, Khadijah S.; Johnson, Grace K.

    2013-01-01

    This case study format is intended to simulate the experience of facing the same difficult challenges and making the same critical decisions as managers, engineers, and scientists in the Space Shuttle Program. It has been designed for use in the classroom setting to help students develop skills related to decision-making. Students will read about the engine cut-off sensor anomaly which created challenges during the STS-114 mission and have the opportunity to make decisions as lead NASA engineers and Mission Management Team members. Included within this document are three case study presentation options - class discussion, group activity, and open-ended research. Please read the full case prior to in-class presentation to allow ample time for students' analysis and reflection, as well as to prepare additional questions. activities or exercises, material selection, etc. Depending upon the setting of your presentation and the number of participants, please choose at least one presentation format beforehand and plan accordingly. You may expect the following learning objectives by using the proposed formats. Learning Objectives: To enable students to experience the responsibilities of NASA management, engineers, and analysis; to discover possible procedures for investigating system anomalies; to become familiar with the liquid hydrogen low level engine cut-off sensor, including its function, connecting components, and location within the Space Shuttle; and to encourage critical analysis and stimulating discussion of Space Shuttle mission challenges.

  9. Effects of inductive waves on multi-band below-cut-off transmission in waveguides loaded with dielectric metamaterials

    Directory of Open Access Journals (Sweden)

    Fang Chen

    2014-10-01

    Full Text Available Unusual backward and forward wave propagation in below cut-off waveguides loaded with dielectric metamaterials comprised of linear arrays of dielectric resonators (DRs has been investigated by using theoretical, numerical, and experimental methods. Transmission bands were shown to correspond to three lowest resonances in arrays and were analyzed by using the concepts of magneto- and electro-inductive (MI and EI waves describing the transfer of resonance excitation along the chains of coupled resonators. Equivalent circuit models (ECMs have been constructed to describe MI and EI wave propagation and to obtain the dispersion diagrams. Good agreement between the obtained data and the results of full-wave simulations, theoretical calculations, and experiments provided an opportunity to determine coupling coefficients characterizing interaction between DRs in arrays at various resonances. It was shown that ripples observed in below cut-off transmission bands are transmission resonances caused by Fabry-Perot oscillations of inductive waves at impedance mismatch at the array ends. Fitting the transmission spectra for MI/EI waves in arrays, calculated by using the Transfer Matrix Method to the spectra obtained by using full-wave simulations/measurements, allowed for determining the ECM parameters to fully characterize the DR array properties.

  10. Dynamic Changes, Cut-Off Points, Sensitivity, and Specificity of Laboratory Data to Differentiate Macrophage Activation Syndrome from Active Disease

    Directory of Open Access Journals (Sweden)

    Raheleh Assari

    2015-01-01

    Full Text Available Purpose. To compare the laboratory data and changes in these data between patients with MAS and patients with flare-up of the autoimmune diseases. Methods. In a prospective study, the static laboratory data and dynamic changes in the selected data in 17 consecutive patients with MAS and 53 patients with active disease of SJIA, PJIA, Kawasaki disease, and SLE were compared. The ROC curve analysis was used to evaluate cut-off points, sensitivity, and specificity of the static and dynamic laboratory data to differentiate between MAS and active disease. Results. In the MAS group, the mean CRP3, ALT, AST, total bilirubin, ferritin, LDH, PT, PTT, and INR were significantly higher and the mean WBC2, PMN2, Lymph2, Hgb1, 2, 3, ESR2, serum albumin, and sodium were significantly lower than in control group. Some of the important cut-off points were PLT2 38.5, ALT > 38, WBC 5277 ng/mL. Conclusion. The dynamic changes in some laboratory data, especially PLT, can differentiate between MAS and active disease. The changes in WBC, PMN, and ESR and the levels of the liver enzymes may also be helpful in the early differentiation. Very high levels of ferritin may also help the diagnosis along with other clinical and laboratory signs.

  11. Analysis of the acoustic cut-off frequency and HIPs in six Kepler stars with stochastically excited pulsations

    CERN Document Server

    Jimenez, A; Hernandez, F Perez; Mathur, S

    2015-01-01

    Gravito-acoustic modes in the Sun and other stars propagate in resonant cavities with a frequency below a given limit known as the cut-off frequency. At higher frequencies, waves are no longer trapped in the stellar interior and become traveller waves. In this article we study six pulsating solar-like stars at different evolutionary stages observed by the NASA Kepler mission. These high signal-to-noise targets show a peak structure that extends at very high frequencies and are good candidates for studying the transition region between the modes and the interference peaks or pseudo-modes. Following the same methodology successfully applied on Sun-as-a-star measurements, we uncover the existence of pseudo-modes in these stars with one or two dominant interference patterns depending on the evolutionary stage of the star. We also infer their cut-off frequency as the midpoint between the last eigenmode and the first peak of the interference patterns. By using ray theory we show that, while the period of one of the...

  12. Lower waist circumference in mildly-stunted adolescents is associated with elevated insulin concentration

    Directory of Open Access Journals (Sweden)

    Ana Paula Grotti Clemente

    2014-09-01

    Full Text Available Objective: Augmented waist circumference (WC is associated with non-communicable diseases and could represent a valuable marker in screening for metabolic dysfunctions in subjects with insufficient linear growth. The objective of the present study was to determine whether bio-chemical and hemodynamic parameters and waist circumference vary between mildly-stunted and non-stunted adolescents from impoverished communities of São Paulo, Brazil. Methods: The cross-sectional study involved 206 subjects, aged between 9 and 19 years and living in impoverished areas of São Paulo, Brazil. The sample population was divided according to height-for-age Z-score (HAZ into stunted (−1 > HAZ ≥ −2 and non-stunted (HAZ ≥ −1 groups, and was sub-divided according to gender. Logistic regression analysis was employed to compare individuals with elevated (> 75th percentile insulin concentrations. The receiver operating characteristic curves were constructed to determine WC cut-off points that could be used to identify stunted and non-stunted individuals with elevated insulin concentrations. Results: WC cut-off points of 58.25 cm and 67.2 cm allowed for correct classification of 90.7% of stunted and 88.7% of non-stunted individuals in the studied population. While the sensitivity of the model was high for stunted and non-stunted subjects (98.8% and 97.2%, respectively, the specificity was modest (57.1% and 41.2%, respectively. Conclusion: The results presented herein suggest that an increase in plasma insulin is one of the primary metabolic modifications in stunted individuals, and that this alteration could be identified at a lower WC cut-off point than in non-stunted counterparts.

  13. Design and construction of a seepage cut off wall using the slurry trench technique in cold temperatures at the Horizon Dam project

    Energy Technology Data Exchange (ETDEWEB)

    Barr, L.A.; Sobkowicz, J.C. [Thurber Engineering Ltd., Calgary, AB (Canada)

    2010-07-01

    This paper described the design and construction of a soil-cement-bentonite seepage cut off water that was constructed in 2007 as part of the Horizon Dam project at Canadian Natural Resources Ltd. Horizon oil sands site. The Horizon Dam is an earth retention structure which diverts the Tar River around the mine and plant site, and creates a man-made lake providing replacement fish habitat. It was necessary to build the cut off wall to control seepage through the native coarse grained alluvial deposits encountered under the dam and to minimize the risk of piping due to large hydraulic gradients created by the lake. This paper discussed the design of the dam and the field investigation using different geotechnical drilling methods, geophysics and in-situ testing to support design of the cut off wall. Specifically, the paper discussed a literature review and laboratory testing program that were carried out to assess the appropriate backfill mix to be used. The construction of the cut off wall took place at the end of winter using the slurry trench technique. As such, some unique constructability issues were encountered because of cold weather, the use of cement in the backfill, and the native soil conditions. It was concluded that although strict quality control/assurance measures were implemented, one defect in the cut off wall occurred, which required mitigation to provide a product that met the design intentions. 5 refs., 1 tab., 15 figs.

  14. Near-elliptic core triangular-lattice and square-lattice PCFs: a comparison of birefringence, cut-off and GVD characteristics towards fiber device application

    CERN Document Server

    Maji, Partha Sona

    2014-01-01

    In this work, detailed numerical analysis of the near-elliptic core index-guiding triangular-lattice and square-lattice photonic crystal fiber (PCFs) are reported for birefringence, single mode, cut-off behavior, group velocity dispersion and effective area properties. For the same relative values of d/P, triangular-lattice PCFs show higher birefringence whereas the square-lattice PCFs show a wider range of single-mode operation. Square-lattice PCF was found to be endlessly single-mode for higher air-filling fraction (d/P). Smaller lengths of triangular-lattice PCF are required for dispersion compensation whereas PCFs with square-lattice with nearer relative dispersion slope (RDS) can better compensate the broadband dispersion. Square-lattice PCFs show ZDW red-shifted, making it preferable for mid-IR supercontinuum generation (SCG) with highly non-linear chalcogenide material. Square-lattice PCFs show higher dispersion slope that leads to compression of the broadband, thus accumulating more power in the pulse...

  15. Correlation of Real Time PCR Cycle Threshold Cut-Off with Bordetella pertussis Clinical Severity.

    Directory of Open Access Journals (Sweden)

    Shelly Bolotin

    Full Text Available Bordetella pertussis testing performed using real-time polymerase chain reaction (RT-PCR is interpreted based on a cycle threshold (Ct value. At Public Health Ontario Laboratories (PHOL, a Ct value <36 is reported as positive, and Ct values ≥36 and <40 are reported as indeterminate. PHOL reported indeterminate results to physicians and public health units until May 2012, after which these results were only reported to physicians. We investigated the association between Ct value and disease symptom and severity to examine the significance of indeterminate results clinically, epidemiologically and for public health reporting. B. pertussis positive and indeterminate RT-PCR results were linked to pertussis cases reported in the provincial Integrated Public Health Information System (iPHIS, using deterministic linkage. Patients with positive RT-PCR results had a lower median age of 10.8 years compared to 12.0 years for patients with indeterminate results (p = 0.24. Hospitalized patients had significantly lower Ct values than non-hospitalized patients (median Ct values of 20.7 vs. 31.6, p<0.001. The proportion of patients reporting the most indicative symptoms of pertussis did not differ between patients with positive vs. indeterminate RT-PCR results. Taking the most indicative symptoms of pertussis as the gold-standard, the positive predictive value of the RT-PCR test was 68.1%. RT-PCR test results should be interpreted in the context of the clinical symptoms, age, vaccination status, prevalence, and other factors. Further information on interpretation of indeterminate RT-PCR results may be needed, and the utility of reporting to public health practitioners should be re-evaluated.

  16. Absolute depth of myometrial invasion in endometrial cancer is superior to the currently used cut-off value of 50%

    NARCIS (Netherlands)

    Geels, Y.P.; Pijnenborg, J.M.A.; Berg-van Erp, S.H. van den; Snijders, M.P.; Bulten, J.; Massuger, L.F.A.G.

    2013-01-01

    OBJECTIVE: In endometrial carcinoma, myometrial invasion is a well known predictor of recurrence, and important in the decision making for adjuvant treatment. According to the FIGO staging system, myometrial invasion is expressed as invasion of <50%> of the myometrium (50%MI). It has been sugg

  17. 直通截止阀流场与噪声数值分析%Numerical analysis on flow field and noise of straight though cut-off valve

    Institute of Scientific and Technical Information of China (English)

    张生乐; 贾晓丹; 潘国雄; 刘洋

    2016-01-01

    in view of the characteristics of flow field and noise, created by straight though cut-off valve of ship pipeline system, the numerical simulation of the flow field and noise of common CB855A-DN80 straight though cut-off valve were accomplished with fluid dynamics software Fluent. The results showed that flow resistance coefficient decreased gradually with the increase of flow velocity, but the change in value was not big. As the flow velocity increased, the hydrodynamic noise sound pressure level increased gradually.%针对直通截止阀引起的船舶管路系统流场和噪声问题,采用流体力学软件 Fluent对实际使用的CB855A-DN80直通截止阀流场和噪声进行数值仿真计算。研究结果表明,流阻系数随流体流速增大呈逐渐减小的趋势,但数值变化不大。随着流速增大,水动力噪声声压级逐渐增大。

  18. A clinically based prognostic index for diffuse large B-cell lymphoma with a cut-off at 70 years of age significantly improves prognostic stratification: population-based analysis from the Danish Lymphoma Registry.

    Science.gov (United States)

    Gang, Anne O; Pedersen, Michael; d'Amore, Francesco; Pedersen, Lars M; Jensen, Bo A; Jensen, Paw; Møller, Michael B; Mourits-Andersen, Hans T; Pedersen, Robert S; Klausen, Tobias W; de N Brown, Peter

    2015-01-01

    The introduction of rituximab and generally improved health among elderly patients have increased the survival of patients with diffuse large B-cell lymphoma (DLBCL). The International Prognostic Index (IPI) from 1992 is based on pre-rituximab data from clinical trials including several lymphoma subtypes. We applied IPI factors to a population-based rituximab-treated cohort of 1990 patients diagnosed 2000-2010 and explored new factors and the optimal prognostic age cut-off for DLBCL. Multivariate-analyses (MVA) confirmed the prognostic value of all IPI factors except the presence of > 1 extranodal lesion. The optimal age cut-off was 70 years. In a MVA of albumin, lymphocyte count, sex, immunoglobulin G, bulky disease, hemoglobin and B-symptoms, only albumin was prognostic. We propose: (1) a modified DLBCL prognostic index (DLBCL-PI) including: age (70 years), performance status (PS), lactate dehydrogenase (LDH), stage and albumin level, and (2) a separate age-adjusted DLBCL-PI for patients ≤ 70 years including PS, LDH, albumin level and > 1 extranodal lesion, however excluding stage.

  19. Impact of High-Cut-Off Dialysis on Renal Recovery in Dialysis-Dependent Multiple Myeloma Patients: Results from a Case-Control Study.

    Directory of Open Access Journals (Sweden)

    Hans U Gerth

    Full Text Available High-cut-off hemodialysis (HCO-HD can effectively reduce high concentrations of circulating serum free light chains (sFLC in patients with dialysis-dependent acute kidney injury (AKI due to multiple myeloma (MM. Therefore, the aim of this study was to analyze renal recovery in a retrospective single-center cohort of dialysis-dependent MM patients treated with either conventional HD (conv. HD or HCO-HD.The final cohort consisted of 59 patients treated with HCO-HD (n = 42 or conv. HD (n = 17. A sustained sFLC response was detected in a significantly higher proportion of HCO-HD patients (83.3% compared with conv. HD patients (29.4%; p = 0.007. The median duration of sFLC required to reach values <1000 mg/l was 14.5 days in the HCO-HD group and 36 days in the conv. HD group. The corresponding rates of renal recovery were 64.3% and 29.4%, respectively (chi-squared test, p = 0.014. Multivariate regression and decision tree analysis (recursive partitioning revealed HCO-HD (adjusted odds ratio [OR] 6.1 [95% confidence interval (CI 1.5-24.5], p = 0.011 and low initial uric acid values (adjusted OR 1.3 [95%CI 1.0-1.7], p = 0.045 as independent and paramount variables associated with a favorable renal outcome.In summary, the results from this retrospective case-control study suggest in addition to novel agent-based chemotherapy a benefit of HCO-HD in sFLC removal and renal outcome in dialysis-dependent AKI secondary to MM. This finding was especially pertinent in patients with low initial uric acid values, resulting in a promising renal recovery rate of 71.9%. Further prospective studies are warranted.

  20. Serum Cholesterol Level Nomograms for Iranian Population; Suggestion for National Cut-Offs

    Directory of Open Access Journals (Sweden)

    Mostafa Hosseini

    2013-02-01

    Full Text Available Background: High cholesterol levels are associated with increased risk of coronary heart disease and stroke. Understanding the distribution of serum cholesterol levels in each country is valuable index for use in public health planning. This study aimed to construct nomograms of total cholesterol (TC levels and establish the cut-points specific to Iranian population.Methods: Data on serum TC levels of 19,630 non-institutionalized individuals aged 25-64 years from third national survey on non-communicable diseases (SuRFNCD in 2007 were used to construct cholesterol nomograms. We proposed cutoff values for borderline and high TC levels based on rounded 75th and 90th percentiles in three age groups (25-34, 35-44 and 45-64 respectively.Results: Average yearly increase of TC for males up to the age of 45 and females up to 64 were 1.15 and 1.03 mg/dl, respectively. TC levels were higher in females. In males, cutoff values for "borderline and high" TC levels were 195 and 220 mg/dl in 25-34, 210 and 240 mg/d in 35-44 and 215 and 245 mg/dl in 45-64 years old individuals. In women, these values were 200 and 225 mg/dl in 25-34,215 and 240 mg/dl in 35-44 and 235 and 265 mg/dl in 45-64 years old individuals respectively.Conclusion: Since TC levels are different in two sexes and change with age, we proposed different cutoffs for sex and age group. We think these cutoffs could be used in national public health planning.

  1. Age-dependent D-dimer cut-off to avoid unnecessary CT-exams for ruling-out pulmonary embolism

    International Nuclear Information System (INIS)

    To evaluate the effect of an age-dependent D-Dimer cut-off in patients who underwent a computed tomography pulmonary angiogram (CTPA) for suspected pulmonary embolism (PE). Retrospective application of an age-dependent D-dimer cut-off (age/100 in patients aged over 50) in 530 consecutive patients, both in- and outpatients, aged over 18, who underwent CTPA for suspected PE according to the guidelines. The application of an age-dependent D-dimer cut-off showed a now negative test-result in 17 of 530 patients (3.2 %). The proportion was 4.1 % (17 of 418) in patients aged over 50. None of these 17 cases was diagnosed with PE in CTPA, the false-negative rate was 0 %. The effect could be seen in outpatients (14 of 377 [3.7 %]) as well as in inpatients(3 of 153 [2.0 %]) with no statistically significant difference (p > 0.05). The application of an age-dependent D-dimer cut-off as part of the guideline-based algorithm for suspected PE reduced the number of necessary CTPA in outpatients as well as in inpatients.

  2. Cosmological properties and reconstruction of scalar field models of the Holographic Dark Energy model with Granda-Oliveros cut-off in Kaluza-Klein cosmology

    Science.gov (United States)

    Pasqua, Antonio; Chattopadhyay, Surajit; Assaf, Khudhair A.; Salako, Ines G.

    2016-06-01

    In this paper, we study the properties of the Holographic Dark Energy (HDE) model in the context of Kaluza-Klein (KK) cosmology with infrared cut-off given by the recently proposed by Granda-Oliveros cut-off, which contains a term proportional to the time derivative of the Hubble parameter and one proportional to the Hubble parameter squared. Moreover, this cut-off is characterized by two free parameters which are the proportional constants of the two terms of the cut-off. We derive the expression of the Equation of State (EoS) parameter ωD and of the deceleration parameter q for both non-interacting and interacting Dark Sectors and in the limiting case of a flat Dark Dominated Universe. Moreover, we study the squared speed of the sound vs2 and the statefinder diagnostic \\{r,s\\} in order to understand the cosmological properties of the model considered. We also develop a correspondence between the model considered and three scalar field models: the tachyon, the k-essence and the quintessence ones.

  3. Criteria to interpret cancer biomarker increments crossing the recommended cut-off compared in a simulation model focusing on false positive signals and tumour detection time

    DEFF Research Database (Denmark)

    Lund, Flemming; Hyltoft Petersen, Per; Pedersen, Merete Frejstrup;

    2014-01-01

    BACKGROUND: Several criteria have been proposed to interpret increments in serological cancer biomarker concentrations starting from low baseline concentrations crossing the cut-off. None of the criteria have been compared for their ability to signal tumour growth when ≤2% false positive results ...

  4. A new three-component signal model to objectively select power Doppler wall filter cut-off velocity for quantitative microvascular imaging

    Science.gov (United States)

    Elfarnawany, Mai; Lacefield, James C.

    2013-03-01

    The wall-filter selection curve (WFSC) method was developed to automatically select cut-off velocities for high-frequency power Doppler imaging. Selection curves are constructed by plotting color pixel density (CPD) as a function of wall filter cut-off velocity. A new three-component mathematical model is developed to guide the design of an online implementation of the method for in vivo imaging. The model treats Doppler imaging as a signal detection task in which the scanner must distinguish intravascular pixels from perivascular and extravascular pixels and includes a cost function to identify the optimum cut-off velocity that provides accurate vascular quantification and minimizes the effect of color pixel artifacts on visualization of vascular structures. The goodness of fit of the three-component model to flow-phantom data is significantly improved compared to a previous two-component model (F test, p new model indicate that selection curves should be sampled using at least 100 cut-off velocities to ensure robust performance of the automated WFSC method and determine an upper bound on CPD variability that ensures reliable vascular quantification accuracy, defined as CPD within 5% of the reference vascular volume fraction. Results of the simulations also provide evidence that limiting the selection of the cut-off velocity to a binary choice between the middle and right end of the characteristic interval is sufficient to meet the quantification accuracy goal. The model provides an intuitive, empirical description of the relationship between system settings and blood-flow detection performance in power Doppler imaging.

  5. Endogenous gamma-hydroxybutyric acid (GHB) concentrations in post-mortem specimens and further recommendation for interpretative cut-offs.

    Science.gov (United States)

    Andresen-Streichert, Hilke; Jensen, P; Kietzerow, J; Schrot, M; Wilke, N; Vettorazzi, E; Mueller, A; Iwersen-Bergmann, S

    2015-01-01

    When interpreting gamma-hydroxybutyric acid (GHB) concentrations in post-mortem specimens, a possible increase in GHB concentrations because of post-mortem generation must be considered. In this study, endogenous GHB concentrations in post-mortem biological fluids were investigated. Additionally, we review post-mortem GHB concentrations already published in the literature. Heart and peripheral blood samples, cerebrospinal fluid, urine, and vitreous humor were collected from 64 autopsies in subjects where the cause of death excluded GHB exposure. Sample analysis was carried out either on the day of autopsy or later after immediate freezing and storage at -20 °C. GHB concentrations in venous blood samples (n = 61) were GHB concentrations in cases where there were signs of beginning putrefaction at the time of autopsy (n = 9) and cases without obvious signs of putrefaction. In one case with advanced putrefaction, the GHB concentration in venous blood was 32.7 mg/L. In conclusion, for post-mortem venous blood, urine, and cerebrospinal fluid, an interpretative cut-off of 30 mg/L for GHB concentrations is suggested in cases where GHB analysis is conducted on the day of sample collection at autopsy or if samples have been stored at -20 °C immediately after collection.

  6. Traveling Wave MRI at 21.1 T: Propagation below Cut-off for Ultrahigh Field Vertical Bore System

    CERN Document Server

    Tonyushkin, Alexey A; Grant, Samuel C; Kiruluta, Andrew JM

    2014-01-01

    At high magnetic field strengths (> 4 T), the propagation wave vector of the excitation field B1 can no longer be ignored as the wavelength becomes commensurate or smaller than the imaging field of view (FOV), particularly for high dielectric media. The emergence of this propagation wave vector renders the excitation field variant in both time and space. In this paper, the propagation of RF excitation waves in a high field vertical NMR system is demonstrated for the first time with an appropriate screened dielectric waveguide excited by a simple loop coil to enable below cutoff propagation for imaging in the far field. Uniquely, aqueous samples provide the high permittivity required to modify the cut-off requirements of this transmission system. Theory and simulations corroborate the observed propagating modes field patterns. The ease of construction and implementation of this setup permits use in a variety of high field systems. At a minimum, this design provides a larger FOV that is limited primarily by the...

  7. Cut off from supplies - sulfate exhaustion and implications for methane emissions in a brackish rewetted peatland after separation from the coast

    Science.gov (United States)

    Koebsch, Franziska; Liu, Bo; Schmiedinger, Iris; Spitzy, Alejandro; Köhler, Stefan; Koch, Marian; Jurasinski, Gerald; Gehre, Matthias; Sachs, Torsten; Böttcher, Michael

    2016-04-01

    Coastal ecosystems are at the interface between marine and freshwater and exhibit a special geochemistry. We investigate the S and C geochemistry of a coastal, degraded fen peatland. The site has been cut off from the Baltic Sea since 1995 and was rewetted with freshwater from the surrounding catchment in 2010. Despite of locally high pore water sulfate (SO42-) concentrations, the fen turned into a strong source for methane (CH4) with annual budgets up to 0.26±0.06 kg m-2 (Hahn et al. 2015). To reconcile this apparent contradiction we use concentration patterns and stable isotope signatures of water, SO42-, pyrite, dissolved carbon, and CH4 (δ2H, δ13C, δ18O, δ34S) along a transect with increasing distance to the Baltic coastline (300-1500 m). The current peatland geochemistry is characterized by a combination of relict signals reflecting former brackish water intrusion events and indicators of recent human activities such as internal eutrophication and increasing freshwater contribution. The shallow peat layer (depth mostly ≤ 55 cm) exhibited a pronounced vertical gradient with a freshwater-front lying on top of the brackish water layer. S geochemistry was decoupled from present brackish water distribution as marine SO42- was almost completely biotically reduced and converted to pyrite. The remaining pore water SO42- pool was remarkably 34S-enriched in relation to Baltic Sea SO42- (up to +86.4 and +21‰, respectively) and also δ34S-values of pyrite were comparatively high (+4.8‰), thereby demonstrating a distinct reservoir effect under closed-system conditions. However, one of the profiles situated 1150 m from the Baltic Sea coast line exhibited a contrasting S pattern with pronounced excess of isotopically lighter SO42- at depth (up to 32.8 mM and +22.7‰). We hypothesize, that local groundwater seeps might provide electron acceptors such as NO3- for the contemporary oxidation of pyrite. δ13C in DIC exhibited a pronounced vertical shift from -23.9

  8. Body mass index cut-offs for overweight and obesity in Chinese children and adolescents aged 2-18 years%中国2~18岁儿童青少年超重和肥胖筛查体重指数界值点的研究

    Institute of Scientific and Technical Information of China (English)

    李辉; 宗心南; 季成叶; 米杰

    2010-01-01

    Objective To study the body cut-offs of mass index (BMI) for the purpose of screening overweight and obesity for Chinese children and adolescents aged 2-18 years. Methods Based on the BMI growth reference values for Chinese children aged 0-18, using the common methods to establish the BMI cut-offs for screening overweight and obesity. These methods were having the same empirical percentile or Z scores and the BMI value at 18 years consistent with adults.Three sets of BMI cut-offs, including (BMI24, BMI28) , (P85, P95) and (Z1, Z2) , were initially identified. Differences were compared on different cut-off points and prevalence rates of overweight and obesity with different BMI reference, different values and "prevalence" of overweight and obesity based on "2004 Beijing Child and Adolescent Metabolic Syndrome Study ". Cut-offs standards which recommended by the Chinese Working Group on Obesity for Children (WGOC) and by the International Obesity Task Force (IOTF) were also used. Finally the appropriate cut-offs were defined. Results Three sets of BMI cut-offs for screening overweight and obesity for Chinese children and adolescents aged 2-18 years were obtained according to the above mentioned methods for selection. The prevalence rates of overweight and obesity defined by those cut-offs appeared not to be significantly different. Compared with the WGOC, the BMI cut-off points for screening overweight and obesity for both boys and girls from our study were very close to the WGOC', but cut-off points for screening overweight for girls aged 8.5-15.5 y was 0.3-1.0 kg/m2 lower than the WGOC'. Going through the database on screening of "2004 Beijing Children's Metabolic Syndrome Survey ", the prevalence of overweight for girls was about 3.4% higher than using the cut-offs of WGOC. Conclusion Results from this study suggested that the BMI cut-offs passed through the cut-off point of BMI24 and BMI28 at 18 years was appropriate for screening overweight and obesity in

  9. Cut-Off Levels of Anti-Mullerian Hormone for The Prediction of Ovarian Response, In Vitro Fertilization Outcome and Ovarian Hyperstimulation Syndrome

    Directory of Open Access Journals (Sweden)

    Ali Salmassi

    2015-07-01

    Full Text Available Background: Evaluation of anti-mullerian hormone (AMH cut-off levels in assisted reproductive technology (ART as predictive factor for individualization of stimulation protocols and to avoid ovarian hyperstimulation syndrome (OHSS. Materials and Methods: In a retrospective study, 177 infertile patients were assessed for AMH in serum and follicular fluid (FF on the day of follicular puncture (FP, between 2012 and 2013 in Kiel, Germany. AMH levels and pregnancy rates were compared between low, moderate and high responders and cut-off levels of low and high responders. AMH cut-off levels in pathological cases were evaluated in analysis 1 (OHSS and in analysis 2 [polycystic ovarian syndrome, (PCOS] and compared in analysis 3 to normal endocrinological parameters. Results: AMH levels in FF were higher than in serum (P<0.001. AMH levels in serum and FF increased from low through moderate to high responders (P<0.001. Pregnancy rates were 14.7, 23.3 and 44.9% (P=0.009, respectively. AMH cut-off level for poor responders was 0.61 ng/ml in serum with a pregnancy rate of 13.8 and 37.1% for below and above of this level, respectively. For FF, it was 1.43 ng/ml. AMH levels in analysis 1 and 2 were significantly higher than in analysis 3 (P=0.001. AMH cut-off level for OHSS was 1.5 ng/ml in serum with OHSS rates of 80.8 and 19.2 % for above and below of the level, respectively. For FF, it was 2.7 ng/ml. PCOS patients had an AMH cut-off level of 3.9 ng/ml in serum and 6.8 ng/ml in FF, resulting in a PCOS rate of 100% above this level. Conclusion: AMH levels can help to assess ovarian response potential and guide ovarian stimulation while avoiding OHSS.

  10. Combined Effect of an Atmospheric River and a Cut-off Low in Hiroshima Flooding Event on August 19, 2014

    Science.gov (United States)

    Takayabu, Y. N.; Hirota, N.; Kato, M.; Arakane, S.

    2015-12-01

    An extraordinary precipitation over 100 mmhr-1in Hiroshima on August 19, 2014, caused a flash flood which resulted in 74 fatalities and collapse of 330 houses. In order to examine the meteorological background of this flooding event, we carried out a detailed analysis utilizing rain gauge data, satellite precipitation dataset, and a meso scale and a global scale objective analyses provided from the Japan Meteorological Agency. Then, we performed numerical experiments using a nonhydrostatic compressible equation model called the Cloud-Resolving Storm Simulator (CReSS). As a result, a combined effect of an atmospheric river (AR) and a cut-off low (COL) in this flooding event was elucidated. During the event, a filamentary transport of moisture extending from the Indochina Peninsula to the Japanese Islands was observed along the southern side of the subtropical jet, forming an AR. This AR had a deep structure with an amount of free tropospheric moisture comparable to that of the boundary layer. Concurrently, there was a COL, detached from the Mid-Pacific Trough, moving northwestward toward the Japanese Archipelago. With various sensitivity experiments, we concluded that a mid-tropospheric instability associated with the cold core of the COL and a dynamical ascent induced in its foreside, collaboratively worked with the anomalous moisture in the free troposphere associated with the AR, to extraordinarily enhance the precipitation over Hiroshima region. An orographic effect to concentrate the precipitation in this region was also confirmed. An implication on a difference in effects of AR in this event with a climatologically moist boundary layer, from those in the US west coast with a very dry environment, was also obtained. Acknowledgment: This study is supported by the Environment Research and Technology Development Fund (2-1503) of the Ministry of the Environment, Japan, and by the Ministry of Education, Culture, Sports, Science and Technology, Japan.

  11. Comparative study of food transfers in the three castes of the honeybee (Apis mellifica ligustica S.) in which four distal sections of both antennae have been cut off

    International Nuclear Information System (INIS)

    The study of food transfers between the three castes of Apis mellifica ligustica S., in which four distal sections have been cut off, has been carried out by means of a radioactive tracer 198Au, which cannot be metabolized. The begging behavior of queens with cut off antennae towards 4-day-old worker Bees and workers of unknown age is not changed. So it is with drones and operated worker Bees which beg food of a worker Bee, that is 4 days old and undamaged. On the other hand the begging behavior of drones and workers of unknown age is reduced towards other worker Bees of unknown age that are undamaged. The two-sided amputation of antennal sections of donor worker Bees of both categories does not change their behavior towards undamaged worker Bees

  12. Interacting power-law and logarithmic entropy-corrected holographic dark energy models with different cut-offs in Brans-Dicke cosmology

    OpenAIRE

    Darabi, F.; Felegary, F.

    2015-01-01

    In the framework of Brans-Dicke cosmology, we have studied the interacting power-law and logarithmic entropy-corrected holographic dark energy models with different cut-offs. The Brans-Dicke parameter is investigated versus the conditions for the acceleration and phantom phases to show that which entropy corrected model can exhibit acceleration with or without the phantom phase at early and present time universes. Moreover, the classical stability or instability of the interacting power-law a...

  13. Addenbrooke’s Cognitive Examination and Individual Domain Cut-Off Scores for Discriminating between Different Cognitive Subtypes of Parkinson’s Disease

    Directory of Open Access Journals (Sweden)

    Dagmar Berankova

    2015-01-01

    Full Text Available Objective. The main aim of this study was to verify the sensitivity and specificity of Addenbrooke’s Cognitive Examination-Revised (ACE-R in discriminating between Parkinson’s disease (PD with normal cognition (PD-NC and PD with mild cognitive impairment (PD-MCI and between PD-MCI and PD with dementia (PD-D. We also evaluated how ACE-R correlates with neuropsychological cognitive tests in PD. Methods. We examined three age-matched groups of PD patients diagnosed according to the Movement Disorder Society Task Force criteria: PD-NC, PD-MCI, and PD-D. ROC analysis was used to establish specific cut-off scores of ACE-R and its domains. Correlation analyses were performed between ACE-R and its subtests with relevant neuropsychological tests. Results. Statistically significant differences between groups were demonstrated in global ACE-R scores and subscores, except in the language domain. ACE-R cut-off score of 88.5 points discriminated best between PD-MCI and PD-NC (sensitivity 0.68, specificity 0.91; ACE-R of 82.5 points distinguished best between PD-MCI and PD-D (sensitivity 0.70, specificity 0.73. The verbal fluency domain of ACE-R demonstrated the best discrimination between PD-NC and PD-MCI (cut-off score 11.5; sensitivity 0.70, specificity 0.73 while the orientation/attention subscore was best between PD-MCI and PD-D (cut-off score 15.5; sensitivity 0.90, specificity 0.97. ACE-R scores except for ACE-R language correlated with specific cognitive tests of interest.

  14. Serological diagnosis of pneumococcal infection in children with pneumonia using protein antigens: A study of cut-offs with positive and negative controls.

    Science.gov (United States)

    Andrade, Dafne Carvalho; Borges, Igor Carmo; Ivaska, Lauri; Peltola, Ville; Meinke, Andreas; Barral, Aldina; Käyhty, Helena; Ruuskanen, Olli; Nascimento-Carvalho, Cristiana Maria

    2016-06-01

    The etiological diagnosis of infection by Streptococcus pneumoniae in children is difficult, and the use of indirect techniques is frequently warranted. We aimed to study the use of pneumococcal proteins for the serological diagnosis of pneumococcal infection in children with pneumonia. We analyzed paired serum samples from 13 Brazilian children with invasive pneumococcal pneumonia (positive control group) and 23 Finnish children with viral pharyngitis (negative control group), all aged pharyngitis were evaluated for oropharyngeal colonization, and none of them carried S. pneumoniae. We used a multiplex bead-based assay with eight proteins: Ply, CbpA, PspA1 and 2, PcpA, PhtD, StkP and PcsB. The optimal cut-off for increase in antibody level for the diagnosis of pneumococcal infection was determined for each antigen by ROC curve analysis. The positive control group had a significantly higher rate of ≥2-fold rise in antibody levels against all pneumococcal proteins, except Ply, compared to the negative controls. The cut-off of ≥2-fold increase in antibody levels was accurate for pneumococcal infection diagnosis for all investigated antigens. However, there was a substantial increase in the accuracy of the test with a cut-off of ≥1.52-fold rise in antibody levels for PcpA. When using the investigated protein antigens for the diagnosis of pneumococcal infection, the detection of response against at least one antigen was highly sensitive (92.31%) and specific (91.30%). The use of serology with pneumococcal proteins is a promising method for the diagnosis of pneumococcal infection in children with pneumonia. The use of a ≥2-fold increase cut-off is adequate for most pneumococcal proteins. PMID:26928648

  15. Prevalence of body mass index and body weight cut-off points for in vitro fertilization treatment at U.S. clinics and current clinic weight loss strategy recommendations.

    Science.gov (United States)

    Turner-McGrievy, Gabrielle M; Grant, Breănna L

    2015-09-01

    The goal of this study was to determine how many clinics providing in vitro fertilization (IVF) in the United States require a body mass index (BMI) or body weight cut-off point to determine treatment eligibility. US clinics listed as members on the Society of Assisted Reproduction website in late 2013 were contacted by phone between January and March 2014. Clinic personnel were asked if a BMI or body weight cut-off points was used to determine IVF treatment eligibility and what strategies they recommended for their patients to achieve a healthy body weight. Of the 379 clinics contacted, 347 responded (92% response rate) and 35% (n = 120) reported using a BMI or body weight cut-off points to determine eligibility for IVF treatment. Mean BMI (± SD) cut-off points was 38.4 ± 5.2 kg/m(2) and mean body weight (± SD) cut-off points was 130.2 ± 14.8 kg. Of the clinics using a set cut-off points, half (46%) provided no weight loss recommendations for patients. A sizable portion of US IVF clinics report a required or preferred BMI or body weight cut-off points for treatment. Despite this, most clinics did not provide a recommended program or approach for weight loss with very few clinics reporting an in-house program.

  16. Determining a Cut-Off Point for Scores of the Breastfeeding Self-Efficacy Scale-Short Form: Secondary Data Analysis of an Intervention Study in Japan.

    Directory of Open Access Journals (Sweden)

    Keiko Nanishi

    Full Text Available Breastfeeding self-efficacy can be measured with the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF. Mothers with low BSES-SF scores stop exclusive breastfeeding prematurely, but specific interventions can prevent that undesirable outcome. Because those interventions can be expensive, often one must decide which mothers will receive them. For that purpose, a cut-off BSES-SF score would be useful, but none is available. Therefore, we aimed to assess the overall accuracy of BSES-SF scores as predictors of not practicing post-discharge exclusive breastfeeding, and to choose an appropriate cut-off score for making that prediction.This is a secondary data analysis of an intervention study. Data from 378 women in two non-Baby-Friendly Hospitals were analyzed. Participants were women in their third trimester who were 16 years of age or older, were able to read and write Japanese, were expected to have a singleton birth, and had completed the BSES-SF before discharge. BSES-SF scores were measured before discharge. Breastfeeding status was assessed 4 weeks and 12 weeks postpartum. Receiver Operating Characteristic (ROC curves were used to assess the predictive ability of the BSES-SF and to inform the choice of a cut-off point.For both of the ROC curves (4 and 12 weeks postpartum the area under the curve was 0.74. To obtain a high sensitivity, a cut-off score of 50 was chosen. With that cut-off score the sensitivity was 79% and the specificity was 52% 4 weeks postpartum, and they were 77% and 52%, respectively, 12 weeks postpartum.In conclusion, the BSES-SF has moderate overall accuracy to distinguish women who will not practice exclusive breastfeeding after discharge from those who will. At non-Baby-Friendly hospitals in Japan, interventions to support exclusive breastfeeding might be considered for new mothers who have BSES-SF scores that are less than or equal to 50.

  17. Neck circumference as a potential marker of metabolic syndrome among college students

    Directory of Open Access Journals (Sweden)

    Dayse Christina Rodrigues Pereira

    2014-12-01

    Full Text Available OBJECTIVE: to relate neck circumference with metabolic syndrome and its criteria among college students.METHOD: cross-sectional study conducted with 702 college students in Fortaleza, CE, Brazil from September 2010 to June 2011. Socio-demographic data, waist circumference and neck circumference were collected together with blood pressure, fasting blood sugar, triglyceride levels, and HDL-C.RESULTS: 1.7% of the studied sample presented metabolic syndrome. Of these, 58.3% presented altered neck circumference (p<0.006. As neck circumference decreases, pressure levels improve (p<0.001. Additionally, college students with high fasting blood sugar (p=0.003 and high triglyceride levels (p<0.001 presented higher values of neck circumference.CONCLUSION: neck circumference is a potential predictive marker in the detection of metabolic syndrome and its components among college students.

  18. Pontos de corte para a aptidão cardiorrespiratória e a triagem de fatores de risco para doenças cardiovasculares na infância Cardiorespiratory fitness cut offs points and cardiovascular risk factors screening at infancy

    Directory of Open Access Journals (Sweden)

    Gabriel Gustavo Bergmann

    2010-10-01

    Full Text Available O principal objetivo deste estudo foi analisar a validade e propor novos pontos de corte para aptidão cardiorrespiratória de escolares de sete a 12 anos de idade. A amostra foi constituída por 1.413 escolares. A aptidão cardiorrespiratória foi medida através do teste de corrida/caminhada de nove minutos. O colesterol total e as pressões arterial sistólica e diastólica foram medidas e através delas foram criadas referências de fatores de risco para doenças cardiovasculares. Através da curva receiver operating characteristic entre a aptidão cardiorrespiratória e as referências de fatores de risco para doenças cardiovasculares foram identificados os valores dos pontos de corte. Adicionalmente foi utilizada a análise bivariada seguida do cálculo de razão de chances (odds ratio-OR para identificar quanto os indivíduos que não atenderam os pontos de corte propostos tinham a mais de chance de apresentar fatores de risco para doenças cardiovasculares. Os resultados indicaram que, dentre as propostas analisadas, a que foi sugerida neste estudo apresentou melhores ajustamentos entre sensibilidade e especificidade. Os resultados da análise bivariada mostraram que indivíduos que não atenderam os pontos de corte propostos têm maiores chances de apresentarem fatores de risco para doenças cardiovasculares.The main objective of the study was to analyze and propose news cardiorespiratory fitness cut offs points for 7 to 12-year old school students. The sample was composed of 1,413 students. Cardiorespiratory fitness was measured by the 9-minutes walking/running test. Total cholesterol and systolic and diastolic blood pressure were measured and with their results cardiovascular risk factors reference were designed. The Receiver Operating Characteristic curve between cardiorespiratory fitness and cardiovascular risk factors reference identified the cut offs point values. The bivariate analysis and odds ratio (OR calculation was used to

  19. Bovine Tuberculosis in Cattle in the Highlands of Cameroon: Seroprevalence Estimates and Rates of Tuberculin Skin Test Reactors at Modified Cut-Offs

    Directory of Open Access Journals (Sweden)

    J. Awah-Ndukum

    2012-01-01

    Full Text Available The aim of this study was to obtain epidemiological estimates of bovine tuberculosis (TB prevalence in cattle in the highlands of Cameroon using two population-based tuberculin skin test (TST surveys in the years 2009 and 2010. However, prior to the TST survey in 2010, blood was collected from already chosen cattle for serological assay. Anti-bovine TB antibodies was detected in 37.17% of tested animals and bovine TB prevalence estimates were 3.59%–7.48%, 8.92%–13.25%, 11.77%–17.26% and 13.14%–18.35% for comparative TST at ≥4 mm, ≥3 mm and ≥2 mm cut-off points and single TST, respectively. The agreement between TST and lateral flow was generally higher in TST positive than in TST negative subjects. The K coefficients were 0.119, 0.234, 0.251 and 0.254 for comparative TST at ≥4 mm, ≥3 mm and ≥2 mm cut-off points and the single TST groups, respectively. Chi square statistics revealed that strong (P48 associations existed between seroprevalence rates and TST reactors. The study suggested that using lateral flow assay and TST at severe interpretations could improve the perception of bovine TB in Cameroon. The importance of defining TST at modified cut-offs and disease status by post-mortem detection and mycobacterial culture of TB lesions in local environments cannot be overemphasised.

  20. Waist-to-Height Ratio Is a Better Anthropometric Index than Waist Circumference and BMI in Predicting Metabolic Syndrome among Obese Mexican Adolescents

    Directory of Open Access Journals (Sweden)

    Edel Rafael Rodea-Montero

    2014-01-01

    Full Text Available Objective. To identify the degree of association between anthropometric indices and components of metabolic syndrome (MS and to determine optimal cut-off points of these indices for predicting MS in obese adolescents. Methods. A cross-sectional study with a sample of (n=110 Mexican obese adolescents grouped by sex and the presence/absence of MS. BMI percentile, waist circumference (WC, and waist-to-height ratio (WHtR were tested. ROC curves of the anthropometric indices were created to identify whether an index was a significant predictor of MS. Results. BMI percentile, WC, and WHtR were significantly correlated with systolic and diastolic blood pressure. As predictors of MS overall patients, the BMI percentile generated an area under curve (AUC of 0.651 (P=0.008, cut-off point above the 99th percentile. WC generated an AUC of 0.704 (P<0.001, cut-off point of ≥90 cm. WHtR demonstrated an AUC of 0.652 (P=0.008, cut-off point of 0.60. WHtR ≥0.62 and WHtR ≥0.61 generate AUC of 0.737 (P=0.006 and AUC of 0.717 (P=0.014 for predicting hypertension and insulin resistance, respectively, in females. Conclusion. WHtR is a better tool than WC and BMI for identifying cardiometabolic risk. The overall criterion (WHtR ≥ 0.6 could be appropriate for predicting MS in obese Mexican adolescents.

  1. Obesity Index That Better Predict Metabolic Syndrome: Body Mass Index, Waist Circumference, Waist Hip Ratio, or Waist Height Ratio

    Directory of Open Access Journals (Sweden)

    Abdulbari Bener

    2013-01-01

    Full Text Available Aim. The aim was to compare body mass index (BMI, waist circumference (WC, waist hip ratio (WHR, and waist height ratio (WHtR to identify the best predictor of metabolic syndrome (MetS among Qatari adult population. Methods. A cross-sectional survey from April 2011 to December 2012. Data was collected from 1552 participants followed by blood sampling. MetS was defined according to Third Adult Treatment Panel (ATPIII and International Diabetes Federation (IDF. Receiver operating characteristics (ROC curve analysis was performed. Results. Among men, WC followed by WHR and WHtR yielded the highest area under the curve (AUC (0.78; 95% CI 0.74–0.82 and 0.75; 95% CI 0.71–0.79, resp.. Among women, WC followed by WHtR yielded the highest AUC (0.81; 95% CI 0.78–0.85 & 0.79; 95% CI 0.76–0.83, resp.. Among men, WC at a cut-off 99.5 cm resulted in the highest Youden index with sensitivity 81.6% and 63.9% specificity. Among women, WC at a cut-off 91 cm resulted in the highest Youden index with the corresponding sensitivity and specificity of 86.5% and 64.7%, respectively. BMI had the lowest sensitivity and specificity in both genders. Conclusion. WC at cut-off 99.5 cm in men and 91 cm in women was the best predictor of MetS in Qatar.

  2. Importância relativa do Índice de Massa Corporal e da circunferência abdominal na predição da hipertensão arterial Relative importance of body mass index and waist circumference for hypertension in adults

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    Flávio Sarno

    2007-10-01

    importance of Body Mass Index (BMI and waist circumference for the determination of hypertension in adults. METHODS: Cross sectional analysis of a sample of employees (N=1,584, aged 18 to 64 years, from a private general hospital in the city of São Paulo, Brazil. Data collection included the application of a structured questionnaire and blood pressure, weight, high, and waist circumference measurements. Hypertension was defined as blood pressure levels > 140/90 mmHg or reported use of anti-hypertensive medication. The relative importance of BMI and waist circumference was evaluated by calculating the attributable fraction of hypertension corresponding to each anthropometric indicator, employing both the usual cut-off points as well as cut-off points based on the observed distribution of the indicator in the population. In addition, an indicator combining simultaneously BMI and abdominal circumference values was also developed. RESULTS: Prevalence of hypertension was 18.9% (26.9% in men and 12.5% in women. In men, the fraction of hypertension attributable to BMI exceeded the fraction attributable to waist circumference based on the usual cut-off points for the indicators (56% vs. 48%, respectively and also considering the quartiles of the observed distribution for these indicators (73% vs. 69%, respectively. In women, the fraction of hypertension attributable to waist circumference was slightly higher than the fraction attributable to BMI based on the usual cut off points for both indicators (44% vs. 41%, but the reverse was true when quartiles of the observed distribution were used (41% vs. 57%, respectively. In women only, the fraction of hypertension attributable to the indicator combining BMI and waist circumference (64% was higher that observed using each indicator alone. CONCLUSIONS: Both BMI and abdominal circumference were positively and independently associated with the occurrence of arterial hypertension, the influence of BMI being higher among men.

  3. Power-law and Logarithmic Entropy Corrected Holographic Dark Energy Models in Brans-Dicke Cosmology with Granda-Oliveros Cut-Off

    CERN Document Server

    Pasqua, Antonio; Myrzakulov, Ratbay

    2015-01-01

    In this paper, the cosmological implications of the Power Law Entropy Corrected Holographic Dark Energy (PLECHDE) and the Logarithmic Entropy Corrected Holographic Dark Energy (LECHDE) models in the context of Brans-Dicke (BD) cosmology for both non-interacting and interacting DE and Dark Matter (DM) are studied. As the system infrared cut-off, we choose the recently proposed Granda-Oliveros cut-off, which contains a term proportional to the first time derivative of the Hubble parameter and one term proportional to $H^2$, i.e. the Hubble parameter squared. We obtain the expressions of three quantities, i.e. the Equation of State (EoS) parameter $\\omega_D$, the deceleration parameter $q$ and the evolutionary form of the energy density parameter $\\Omega'_D$ of the PLECHDE and LECHDE models in a non-flat Universe for non-interacting and interacting DE and DM as well. Moreover, we investigate the limiting cases corresponding to: a) absence of entropy corrections; b) Einstein's gravity; and c) concomitantly absenc...

  4. Power-Law Entropy-Corrected Holographic Dark Energy in Ho\\v{r}ava-Lifshitz Cosmology with Granda-Oliveros Cut-off

    CERN Document Server

    Pasqua, Antonio; Myrzakulov, Ratbay

    2015-01-01

    In this work, we decided to study the Power Law Entropy Corrected Holographic Dark Energy (PLECHDE) model in the framework of a spatially non-flat Universe and in the framework of Ho\\v{r}ava-Lifshitz cosmology with infrared (IR) cut-off given by recently proposed Granda-Oliveros cut-off which contains one term proportional to the Hubble parameter squared and one proportional to the time derivative of the Hubble parameter. For the two cases corresponding to non-interacting and interacting DE and Dark Matter (DM), we derive the evolutionary form of the energy density of DE, the Equation of State (EoS) parameter $\\omega_D$, the evolutionary form of the fractional energy density $\\Omega_D'$ and the deceleration parameter $q$. Using the parametrization of the EoS parameter $\\omega_D\\left(z\\right)=\\omega_0+\\omega_1 z$, we obtain the expressions of $\\omega_0$ and $\\omega_1$ for both non-interacting and interacting Dark Sectors. We also study the statefinder parameters $\\left\\{ r,s \\right\\}$, the properties of some c...

  5. 截锥形直杆的动力稳定性研究%Research on the dynamic stability of cut-off-cone bar

    Institute of Scientific and Technical Information of China (English)

    夏鹭平

    2001-01-01

    This paper discusses the effect of dynamic stability of cut-off-cone bar under vertical vibration force. The influence of cut-off-cone bar and equal section bar on the dynamic property of bars is analyzed respectively. A theoretical method of analyzing the dynamic stability of bars is presented. Some suggestions are made about reducing the unfavourable effect in practical engineering. The work here may be useful to the dynamic analysis and design in practical engineering.%研究了截锥形直杆在竖向振动力作用下,杆件参数共振和动力稳定性问题,分析了截锥形直杆和等截面直杆对杆件动力性能的影响,提出了一种分析杆件动力稳定性的理论方法,方法简明易用,便于掌握,并提出了在实际工程中减小共振的一些措施,为结构的动力分析与设计提供参考依据。

  6. One strategy to enhance electrochemical properties of Ni-based cathode materials under high cut-off voltage for Li-ion batteries

    Science.gov (United States)

    Liang, Longwei; Jiang, Feng; Cao, Yanbing; Hu, Guorong; Du, Ke; Peng, Zhongdong

    2016-10-01

    Well-distributed, nano-sized and amorphous or crystalized NaTi2(PO4)3 (NTP) coating layer with high ionic conductivity is successfully introduced onto the surface of LiNi0.6Co0.2Mn0.2O2 (LNCM) particles by a simple and effective mechanical activation method followed by adjusting the reheating temperature appropriately. The promoting influence of NTP coating on the structure stability, cycle life and high rate capability under elevated cut-off voltage has been investigated in-depth. Particularly for the crystalized NTP-coated LNCM, the main reason for the enhanced electrochemical performance can be attributed to the NTP layer with rhombohedral structure providing convenient and low activation barrier diffusion pathways for Li+ ions to insert/extract the interface of electrode/electrolyte. Besides, the NTP-coated layer with stable structure can effectively inhibit the surface side reaction during the long charge/discharge process under high cut-off voltage, which will reduce the harmful insulative by-products. It's worth mentioning that the cyclic stability of crystalized NTP-coated LNCM between 3.0 and 4.6 V is also improved significantly even under the rigorous test environment.

  7. Analysis of the acoustic cut-off frequency and high-frequency peaks in six Kepler stars with stochastically excited pulsations

    Science.gov (United States)

    Jiménez, A.; García, R. A.; Pérez Hernández, F.; Mathur, S.

    2015-11-01

    Gravito-acoustic modes in the Sun and other stars propagate in resonant cavities with a frequency below a given limit known as the cut-off frequency. At higher frequencies, waves are no longer trapped in the stellar interior and become traveller waves. In this article, we study six pulsating solar-like stars at different evolutionary stages observed by the NASA Kepler mission. These high signal-to-noise targets show a peak structure that extends at very high frequencies and are good candidates for studying the transition region between the modes and interference peaks or pseudo-modes. Following the same methodology successfully applied on Sun-as-a-star measurements, we uncover the existence of pseudo-modes in these stars with one or two dominant interference patterns depending on the evolutionary stage of the star. We also infer their cut-off frequency as the midpoint between the last eigenmode and the first peak of the interference patterns. Using ray theory we show that, while the period of one of the interference patterns is very close to half the large separation, the period of the other interference pattern depends on the time phase of mixed waves, thus carrying additional information on the stellar structure and evolution. Appendix A is available in electronic form at http://www.aanda.org

  8. 应用ROC曲线评价癌症患者心理压力量表的临界值研究%Using ROC curve to evaluate cut-off points of Psychological Distress Scale of Cancer Patients

    Institute of Scientific and Technical Information of China (English)

    张丽燕; 陆宇晗

    2016-01-01

    目的:应用ROC曲线测定癌症患者心理压力量表各维度的临界值,为临床应用提供依据。方法调查北京肿瘤医院的癌症患者364例,填写癌症患者心理压力量表和症状自评量表(SCL-90),应用ROC曲线探索此量表各维度的临界值。结果以SCL-90相应维度为参照标准,癌症患者心理压力量表各维度ROC曲线下面积分别为:焦虑(0.815,P<0.01),抑郁(0.790,P<0.01),人际障碍(0.829,P<0.01),怀疑(0.670,P<0.01)。各维度在以下临界值时可获得最佳的敏感性和特异性:焦虑11分,抑郁14分,人际障碍7分,怀疑4分。结论癌症患者心理压力量表对焦虑、抑郁、人际障碍有较好的诊断价值,对怀疑的诊断价值较弱。它具有较好的诊断价值,有助于临床进行癌症患者的心理问题评价。%Objective To determine the cut-off points of Psychological Distress Scale of Cancer Patients by using the ROC curve, in order to provide reference for clinical application of it. Methods A questionnaire containing both the Psychological Distress Scale of Cancer Patients and Symptom Checklist-90 (SCL-90) were filled by 364 cancer patients in Beijing Cancer Hospital. Later the cut-off points of the four latitudes of the Scale were evaluated by ROC curve through comparing the two scales. Results By using the latitudes of the SCL-90 scale as a reference, the areas of all the four latitudes of the Scale were:anxiety (0.815, P<0.01); depression (0.790, P<0.01); interpersonal disability (0.829, P<0.01);suspiciousness (0.670, P<0.01) respectively. The following cut-off points could result in the most ideal sensitivity and specificity: 11 for anxiety; 14 for depression; 7 for interpersonal disability and 4 for suspiciousness. Conclusions The Psychological Distress Scale of Cancer Patients can provide great values to the diagnosis of psychological problems related with anxiety, depression, and interpersonal

  9. Head circumference in Iranian infants

    Directory of Open Access Journals (Sweden)

    Mohammad Esmaeili

    2015-03-01

    Full Text Available Introduction: Head circumference (HC measurement is one of the important parameter for diagnosis of neurological, developmental disorders and dysmorphic syndromes. Recognition of different disorders requires an understanding of normal variation for HC size, in particular, in infancy period with most rapid growth of the brain. Because of international and interracial standard chart differences about anthropometric indices, some differences from local to local, generation to generation and changes in ethnic mix of population and socioeconomic factors, periodic revolution of HC size is suggested. The aims of our study were presenting local HC standard for an Iranian infant population and comparison with the American national center of health statistics (NCHS charts accepted by WHO. Methods: 1003 subjects aged from birth to 24 months apparently healthy normal children enrolled randomly in this cross sectional study. HC size were measured and recorded. Tables and graphs were depicted by Excel Microsoft Office 2007. We use two tailed t-student test for statistical analysis. Results: The mean of HC size in boys was larger than girls. The curves were followed a similar pattern to NCHS based on a visual comparison. Overall our subjects in both sexes at birth time had smaller HC size than NCHS. In other ages our children had larger HC size than those of NCHS. Conclusion: Because of international and interracial difference of HC size. We recommend in each area of the world, local anthropometric indices are constructed and used clinically. In addition more extensive and longitudinally design comprehensive studies is suggested.

  10. Supine Length, Weight and Head Circumference at Birth in Central Iran

    Science.gov (United States)

    Ayatollahi, S. M. T.; Rafiei, Mohammad

    2007-01-01

    Supine length, weight and head circumferences of 10,241 neonates (5241 boys, 5000 girls, sex ratio 105) born in Arak (central Iran) in 2004 are reported. The mean plus or minus standard deviation of boys' and girls' (p value for sex difference) supine length (mm), weight (g) and head circumference (mm) were estimated as 501 plus or minus 30 and…

  11. Application of High-Density Seismic Image in Nondestructive Exploration of Cut-off Cement-Soil Wall in Earth Dam

    Institute of Scientific and Technical Information of China (English)

    CAI Jing; WANG Jianhua; ZHANG Xianmin

    2005-01-01

    In order to quickly explore the quality of cut-off wall in dams, a new method of high-density seismic image was adopted and estimated by model and in-situ wall tests.The vibration exciter was employed and several parameters such as hypocentral distance, length of signal record and sampling space in signal collection were determined, which are 8 m, 0.25 ms and 128 ms respectively. Through time and frequency field signal analyses, it is concluded that, the smaller arrival times of reflected longitudinal and surface waves, and the higher their main frequencies, the higher the strength of the wall, vice versa. Accordingly the construction quality of the wall can be evaluated quickly by high-density seismic image.

  12. EARLY APPLICATION OF HIGH CUT-OFF HAEMODYALISIS FOR DE-NOVO MYELOMA NEPHROPATHY IS ASSOCIATED WITH LONG-TERM DIALYSIS-INDEPENDENCY AND RENAL RECOVERY

    Directory of Open Access Journals (Sweden)

    Alhossain A. Khalafallah

    2013-01-01

    Full Text Available Background Multiple myeloma (MM is a haematological malignancy associated with kidney injury resulting from cast nephropathy, which can be caused by monoclonal free light chains (FLC. It has been demonstrated that reduction of FLC can lead to a higher proportion of patients recovering renal function with a better outcome, especially if extended high cut-off haemodialysis (HCO-HD combined with chemotherapy is used. Patients and Methods In this study, four cases of MM nephropathy were treated with HCO-HD and chemotherapy at a single institution during the period from August 2009 to August 2011. All of the patients presented with acute renal failure and high serum FLC. All patients underwent a bone marrow biopsy to confirm the diagnosis of MM, according to the WHO criteria. Three patients had de-novo MM and one patient had relapsed light chain myeloma disease. All patients underwent HCO-HD concomitantly with specific myeloma therapy once the diagnosis or relapse of MM was established. Results After a median follow up of 26 months, (range, 13-36 our data showed that all patients had a significant decrease in serum FLC through HCO-HD, proving the effectiveness of HCO-HD in managing MM. De-novo MM patients restored their renal function and achieved low-level FLC early on the treatment and become dialysis-independent. One patient with relapsed myeloma remained dialysis dependant. Conclusion Our study suggests that if myeloma nephropathy associated with light-chain disease, HCO-HD should be initiated as early as possible. At the same time a specific MM treatment should be initiated to gain control of the disease and salvage the kidneys in order to achieve dialysis-independency. Further trials to confirm our results are warranted. Key Words: Multiple myeloma, renal failure, High cut-off haemodialysis, chemotherapy, outcome.

  13. Accuracy of sagittal abdominal diameter as predictor of abdominal fat among Brazilian adults: a comparation with waist circumference Precisión de diámetro abdominal sagital como predictor de la grasa abdominal en brasileños adultos: una comparación con la circunferencia de la cintura

    Directory of Open Access Journals (Sweden)

    G. Duarte Pimentel

    2010-08-01

    Full Text Available Aim: We aim was to compare the sagittal abdominal diameter (SAD with waist circumference (WC as a predictor of central obesity among adults and to identify the sensitivity and specificity of the best cut-off point for SAD. Methods: A cross-sectional study of 266 Brazilians adults (euthrophic and overweight, aged 31-84 years old, of which 89 men and 177 women, was carried out. Anthropometric measurements such as SAD, weight, height, waist and hip circumferences, waist and hip ratio, body mass index, body fat percentage were performed. Receiver Operating Characteristics (ROC curve was used to identify the sensitivity and specificity of the best cut off point for SAD as a predictor of central obesity. Statistical analysis were considered significant with a value of p Objetivo: Nuestro objetivo es comparar el diámetro abdominal sagital (DAS con la circunferencia de la cintura (CC como predictor de la obesidad central entre los adultos y para determinar la sensibilidad y la especificidad de la mejor punto de corte para el DAS. Métodos: Estudio transversal de 266 adultos brasileños (eutróficos y con sobrepeso, de entre 31-84 años de edad, de los cuales 89 hombres y 177 mujeres, se llevó a cabo. Las medidas antropométricas como la DAS, peso, talla, circunferencia de la cintura y cadera, relación cintura-cadera, índice de masa corporal, porcentaje de grasa corporal se llevaron a cabo. Receiver Operating Characteristics (ROC curva se utilizó para determinar la sensibilidad y la especificidad del mejor punto de corte para el DAS como predictor de la obesidad central. El análisis estadístico se consideró significativo un valor de p < 0,05. Resultados: La medición del DAS se correlacionó positivamente con CC para ambos sexos, aunque más fuerte entre las mujeres con sobrepeso y obesidad (r = 0,71, p < 0,001, r = 0,79, p < 0,001, respectivamente que los hombres. De curvas ROC identificado las mejores puntos de corte para el DAS de 23.1 cm y 20

  14. Cut-Off Points for Mild, Moderate, and Severe Pain on the Numeric Rating Scale for Pain in Patients with Chronic Musculoskeletal Pain: Variability and Influence of Sex and Catastrophizing

    Science.gov (United States)

    Boonstra, Anne M.; Stewart, Roy E.; Köke, Albère J. A.; Oosterwijk, René F. A.; Swaan, Jeannette L.; Schreurs, Karlein M. G.; Schiphorst Preuper, Henrica R.

    2016-01-01

    Objectives: The 0–10 Numeric Rating Scale (NRS) is often used in pain management. The aims of our study were to determine the cut-off points for mild, moderate, and severe pain in terms of pain-related interference with functioning in patients with chronic musculoskeletal pain, to measure the variability of the optimal cut-off points, and to determine the influence of patients’ catastrophizing and their sex on these cut-off points. Methods: 2854 patients were included. Pain was assessed by the NRS, functioning by the Pain Disability Index (PDI) and catastrophizing by the Pain Catastrophizing Scale (PCS). Cut-off point schemes were tested using ANOVAs with and without using the PSC scores or sex as co-variates and with the interaction between CP scheme and PCS score and sex, respectively. The variability of the optimal cut-off point schemes was quantified using bootstrapping procedure. Results and conclusion: The study showed that NRS scores ≤ 5 correspond to mild, scores of 6–7 to moderate and scores ≥8 to severe pain in terms of pain-related interference with functioning. Bootstrapping analysis identified this optimal NRS cut-off point scheme in 90% of the bootstrapping samples. The interpretation of the NRS is independent of sex, but seems to depend on catastrophizing. In patients with high catastrophizing tendency, the optimal cut-off point scheme equals that for the total study sample, but in patients with a low catastrophizing tendency, NRS scores ≤ 3 correspond to mild, scores of 4–6 to moderate and scores ≥7 to severe pain in terms of interference with functioning. In these optimal cut-off schemes, NRS scores of 4 and 5 correspond to moderate interference with functioning for patients with low catastrophizing tendency and to mild interference for patients with high catastrophizing tendency. Theoretically one would therefore expect that among the patients with NRS scores 4 and 5 there would be a higher average PDI score for those with low

  15. EFFECT OF KAPALBHATI PRANAYAMA ON WAIST AND HIP CIRCUMFERENCE

    Directory of Open Access Journals (Sweden)

    Dinkar

    2013-03-01

    Full Text Available ABSTRACT: CONTEXT (BACKGROUND AND AIMS: Rapid industrialization, environmental pollution, overcrowding, sedentary lifestyle and var ious stress factors are responsible for the deterioration of the physical health of a person. Als o, prevalence of obesity in developing countries is believed to be on the rise. This requi res special and specific techniques to transcend the limits of our physical and mental abilities exper ienced in everyday life. Hence, in the present study beneficial effect of Kapalbhati pranayama on wa ist circumference and hip circumference was studied in overweight individuals. METHODS AND MATERIALS: This study was conducted in a well-known tertiary hospital in Mumbai after th e institutional ethical clearance and written consent from each participant. A total of 60 overweig ht resident doctors were recruited in this study. The participants were divided into study and c ontrol groups, each group containing 30 subjects of both sexes. The study group was asked to perform Kapalbhati pranayama. The duration of the study was eight weeks. Waist circum ference and hip circumference were assessed in both the groups. STATISTICAL ANALYSIS: Paired t- test was applied for statistical analysis and p value <0.05 was considered the level of significance. RESULTS AND CONCLUSION: In study group, waist circumference and hip circumfe rence decreased significantly as compared to that of control group. T his shows that Kapalbhati pranayama has reducing impact on waist circumference and hip circum ference in overweight individuals. The neuroendocrine and autonomic nervous system mechani sms might be involved in the effects of Kapalbhati pranayama, which need further study.

  16. Statefinder diagnostic of logarithmic entropy corrected holographic dark energy with Granda-Oliveros IR cut-off

    Science.gov (United States)

    Khodam-Mohammadi, A.; Pasqua, Antonio; Malekjani, M.; Khomenko, Iuliia; Monshizadeh, M.

    2013-06-01

    In this work, we have studied the logarithmic entropy corrected holographic dark energy (LECHDE) model with Granda-Oliveros (G-O) IR cutoff. The evolution of dark energy (DE) density {\\varOmega}'D, the deceleration parameter, q, and equation of state parameter (EoS), ω Λ , are calculated. We show that the phantom divide may be crossed by choosing proper model parameters, even in absence of any interaction between dark energy and dark matter. By studying the statefinder diagnostic and ω_{{\\varLambda}}-ω_{{\\varLambda}}^' analysis, the pair parameters { r, s} and (ω_{{\\varLambda}}-ω_{{\\varLambda}}^') is calculated for flat GO-LECHDE universe. At present time, the pair { r, s} can mimic the ΛCDM scenario for a value of α/ β≃0.87, which is lower than the corresponding one for observational data ( α/ β=1.76) and for Ricci scale ( α/ β=2). We find that at present, by taking the various values of ( α/ β), the different points in r- s and (ω_{{\\varLambda}}-ω_{{\\varLambda}}^') plans are given. Moreover, in the limiting case for a flat dark dominated universe at infinity ( t→∞), we calculate { r, s} at G-O scale. For Ricci scale ( α=2, β=1) we obtain { r=0, s=2/3}.

  17. Statefinder diagnostic of logarithmic entropy corrected holographic dark energy with Granda-Oliveros IR cut-off

    CERN Document Server

    Khodam-Mohammadi, A; Malekjani, M; Khomenko, Iuliia

    2014-01-01

    In this work, we have studied the logarithmic entropy corrected holographic dark energy (LECHDE) model with Granda-Oliveros (G-O) IR cutoff. The evolution of dark energy (DE) density $\\Omega'_D$, the deceleration parameter, $q$, and equation of state parameter (EoS), $\\omega_{\\Lambda}$, are calculated. We show that the phantom divide may be crossed by choosing proper model parameters, even in absence of any interaction between dark energy and dark matter. By studying the statefinder diagnostic and $\\omega_{\\Lambda}-\\omega_{\\Lambda}^{\\prime}$ analysis, the pair parameters $\\{r,s\\}$ and $(\\omega_{\\Lambda}-\\omega_{\\Lambda}^{\\prime})$ is calculated for flat GO-LECHDE universe. At present time, the pair $\\{r,s\\}$ can mimic the $\\Lambda$CDM scenario for a value of $\\alpha/\\beta\\simeq 0.87$, which is lower than the corresponding one for observational data ($\\alpha/\\beta=1.76$) and for Ricci scale ($\\alpha/\\beta=2$). We find that at present, by taking the various values of ($\\alpha/\\beta$), the different points in $r...

  18. 基于AMESim的牵引车液压系统压力切断阀的研究%Study on Pressure Cut-off Valve of Tractor Hydraulic System Based on AMESim

    Institute of Scientific and Technical Information of China (English)

    徐步算; 李英明; 任光胜

    2014-01-01

    针对变量泵液压系统在加速等工况产生的高压力峰值使得高压溢流阀频繁开启导致系统功率损失而产生热量,提出采用一种具有压力调节功能的压力切断阀,并对其进行理论分析。以重庆轻轨3号线牵引车液压系统为研究对象,通过AMESim的建模和仿真,仿真结果表明该阀动静态特性较好,能很好调节变量泵排量,避免高压峰值,有效减少因溢流阀动作而产生的能量损失,具有广阔的发展前景。%When the variable pump hydraulic system was in the working condition of acceleration or deceleration,high-pressure peak value would be produced to make the high-pressure relief valve run frequently,which led the system power loss and heat genera-tion,by aiming of this,using a pressure cut-off valve with pressure regulatory function was present,and theoretical analysis of it was made. By taking the hydraulic system of tractor for Chongqing rail transit Line 3 as a research object,modeling and simulation were conducted in AMESim. The simulation results show that the valve has good dynamic and static characteristics,which is used to adjust the variable pump displacement well and avoid the high-pressure peak value,reducing the energy loss caused by the overflow action of high-pressure relief valve effectively. So it has broad prospects for development.

  19. Age-dependent D-dimer cut-off to avoid unnecessary CT-exams for ruling-out pulmonary embolism; Altersangepasste Anhebung des D-Dimer-Grenzwertes zur Vermeidung unnoetiger CT-Untersuchungen bei Verdacht auf Lungenarterienembolie

    Energy Technology Data Exchange (ETDEWEB)

    Altmann, M.M.; Hoehne, M.; Herold, T. [HELIOS Klinikum Berlin-Buch (Germany). Radiology; Wrede, C.E. [HELIOS Klinikum Berlin-Buch (Germany). Emergency Department; Peetz, D. [HELIOS Klinikum Berlin-Buch (Germany). Laboratory Medicine; Stroszczynski, C. [University Medical Center, Radiology, Regensburg (Germany)

    2015-09-15

    To evaluate the effect of an age-dependent D-Dimer cut-off in patients who underwent a computed tomography pulmonary angiogram (CTPA) for suspected pulmonary embolism (PE). Retrospective application of an age-dependent D-dimer cut-off (age/100 in patients aged over 50) in 530 consecutive patients, both in- and outpatients, aged over 18, who underwent CTPA for suspected PE according to the guidelines. The application of an age-dependent D-dimer cut-off showed a now negative test-result in 17 of 530 patients (3.2 %). The proportion was 4.1 % (17 of 418) in patients aged over 50. None of these 17 cases was diagnosed with PE in CTPA, the false-negative rate was 0 %. The effect could be seen in outpatients (14 of 377 [3.7 %]) as well as in inpatients(3 of 153 [2.0 %]) with no statistically significant difference (p > 0.05). The application of an age-dependent D-dimer cut-off as part of the guideline-based algorithm for suspected PE reduced the number of necessary CTPA in outpatients as well as in inpatients.

  20. Prevalence of swallowing and speech problems in daily life after chemoradiation for head and neck cancer based on cut-off scores of the patient-reported outcome measures SWAL-QOL and SHI

    NARCIS (Netherlands)

    Rinkel, Rico N; Verdonck-de Leeuw, Irma M; Doornaert, Patricia; Buter, Jan; de Bree, Remco; Langendijk, Johannes A; Aaronson, Neil K; Leemans, C René

    2015-01-01

    The objective of this study is to assess swallowing and speech outcome after chemoradiation therapy for head and neck cancer, based on the patient-reported outcome measures Swallowing Quality of Life Questionnaire (SWAL-QOL) and Speech Handicap Index (SHI), both provided with cut-off scores. This is

  1. Direct Extraction of InP/GaAsSb/InP DHBT Equivalent-Circuit Elements From S-Parameters Measured at Cut-Off and Normal Bias Conditions

    DEFF Research Database (Denmark)

    Johansen, Tom Keinicke; Leblanc, Rémy; Poulain, Julien;

    2016-01-01

    A unique direct parameter extraction method for the small-signal equivalent-circuit model of InP/GaAsSb/InP double heterojunction bipolar transistors (DHBTs) is presented. $S$-parameters measured at cut-off bias are used, at first, to extract the distribution factor $X_{0}$ for the base...

  2. Prevalence of swallowing and speech problems in daily life after chemoradiation for head and neck cancer based on cut-off scores of the patient-reported outcome measures SWAL-QOL and SHI

    NARCIS (Netherlands)

    Rinkel, Rico N.; Verdonck-de Leeuw, Irma M.; Doornaert, Patricia; Buter, Jan; de Bree, Remco; Langendijk, Johannes A.; Aaronson, Neil K.; Leemans, C. Rene

    2016-01-01

    The objective of this study is to assess swallowing and speech outcome after chemoradiation therapy for head and neck cancer, based on the patient-reported outcome measures Swallowing Quality of Life Questionnaire (SWAL-QOL) and Speech Handicap Index (SHI), both provided with cut-off scores. This is

  3. Removal of methadone by extended dialysis using a high cut-off dialyzer: implications for the treatment of overdose and for pain management in patients undergoing light chain removal.

    Science.gov (United States)

    Arelin, Viktor; Schmidt, Julius J; Kayser, Nathalie; Kühn-Velten, W Nikolaus; Suhling, Hendrik; Eden, Gabriele; Kielstein, Jan T

    2016-06-01

    The synthetic opioid methadone hydrochloride has a low molecular weight of 346 D, a high volume of distribution (4 - 7 L/kg), and is lipophilic. It is used as an analgesic and for the maintenance treatment of opiate dependence. In drug addicts, methadone is frequently involved in mixed intoxications that can lead to death. Here we present the case of a drug addict in whom a high cut-off dialysis membrane together with extended dialysis was used in the setting of suspected overdose and acute kidney injury. Although the observed dialyzer plasma clearance (31.5 mL/min) and reduction ratio (38%) were higher than previously reported for standard hemodialysis, the total amount of methadone in the spent dialysate after 1 extended dialysis session was quite low. Hence, even extended dialysis with a high cut-off membrane does not seem to offer a clinically relevant benefit in the setting of overdose for enhanced methadone removal. On the other hand, in patients undergoing high cut-off dialysis for the removal of light chains, methadone could still be used as an analgesic without an additional dose after high cut-off hemodialysis. PMID:27116939

  4. Raising cut-off value of prostate specific antigen (PSA) for biopsy in symptomatic men in India to reduce unnecessary biopsy

    OpenAIRE

    Shalini Agnihotri; Mittal, R. D.; Kapoor, R; Anil Mandhani

    2014-01-01

    Background & objectives: The characteristics of prostate specific antigen (PSA) for trans-rectal ultrasonography guided prostate biopsy in men with lower urinary tract symptoms (LUTS) are not well defined. This study was carried out to analyse the threshold of PSA for biopsy in symptomatic men in India. Methods: From January 2000 to June 2011, consecutive patients who had digital rectal examination (DRE) and PSA testing done for LUTS were included in this study. PSA was done with ELISA te...

  5. Optimal cut-off value for homeostasis model assessment (HOMA) index of insulin-resistance in a population of patients admitted electively in a Portuguese cardiology ward.

    Science.gov (United States)

    Timóteo, Ana Teresa; Miranda, Fernando; Carmo, Miguel Mota; Ferreira, Rui Cruz

    2014-01-01

    Introdução: A resistência à insulina é a chave fisiopatológica de explicação da Síndrome Metabólica. Apesar de claramente útil, o índice Homeostasis Model Assessment (uma medição da resistência à insulina) não tem sido aplicado sistematicamente na prática clínica. Uma das principais razões relaciona-se com a discrepância de valores limiares reportados em diferentes populações. Procurámos avaliar uma população portuguesa o valor limiar ideal e avaliar a sua relação com a Síndrome Metabólica. Material e Métodos: Selecionámos uma coorte de indivíduos admitidos eletivamente numa enfermaria de cardiologia com um IMC insulina. Selecionouse também uma coorte de validação composta por 300 indivíduos, sem aplicação dos critérios de exclusão referidos anteriormente. Resultados: De uma população de 7 000 indivíduos e após aplicação dos critérios de exclusão, ficámos com 1 784 indivíduos para análise. O percentil 90 do índice foi 2,33. Na coorte de validação, aplicando esse limiar, 49,3% dos indivíduos apresentam resistência à insulina. Contudo, apenas 69,9% dos doentes com síndrome metabólica apresentam resistência à insulina com esse limiar. Por análise das curvas ROC, o limiar ideal para síndrome metabólica é 2,41. O índice Homeostasis Model Assessment correlacionou-se com o IMC (r = 0,371, p insulina é 2,33 e para síndrome metabólica é 2,41. Conclusão: O índice Homeostasis Model Assessment correlacionou-se com o IMC e é um preditor independente de síndrome metabólica.

  6. New cut-off values for ferritin and soluble transferrin receptor for the assessment of iron deficiency in children in a high infection pressure area

    NARCIS (Netherlands)

    K.S. Phiri; J.C.J. Calis; A. Siyasiya; I. Bates; B. Brabin; M. Boele van Hensbroek

    2009-01-01

    Background: Due to the potential risk of iron supplementation in iron replete children, it is important to properly identify children who may require iron supplementation. However, assessment of the iron status has proven to be difficult, especially in children living in areas with high infection pr

  7. Logarithmic Entropy-Corrected Holographic Dark Energy in Hořava-Lifshitz cosmology with Granda-Oliveros cut-off

    Science.gov (United States)

    Pasqua, Antonio; Chattopadhyay, Surajit

    2013-12-01

    In this work, we studied the Logarithmic Entropy-Corrected Holographic Dark Energy (LECHDE) model in a spatially non-flat universe and in the framework of Hořava-Lifshitz cosmology. As infrared cutoff of the system we considered the cut-off recently proposed by Granda and Oliveros which contains two terms, one proportional to H 2 and one to . For the two cases containing non-interacting and interacting Dark Energy (DE) and Dark Matter (DM), we obtained the exact differential equation that determines the evolution of the density parameter. Moreover, we derived the expressions of the deceleration parameter q and, using a parametrization of the equation of state (EoS) parameter ω D of our model as ω D ( z)= ω 0+ ω 1 z, we derived both the expressions of ω 0 and ω 1 for both non-interacting and interacting cases. All derivations made in this work are done in small redshift approximation and for low redshift expansion of the equation of state (EoS) parameter.

  8. Water cut-off construction for bulkhead of very deep waste treatment plant using premixed cohesive soil. Premix nenseido ni yoru daisuishin haikibutsu shorijo gogan no shisuiko

    Energy Technology Data Exchange (ETDEWEB)

    Iida, I. (Toa Corp., Tokyo (Japan))

    1994-03-25

    Recently waste treatment plants have been developed in the suburban coastal area or off shore, requiring controlled-type revetment or reclamation for the circumferential sea area. This report describes the outline of premix water cutoff construction having been applied to the center-partitioned revetment in the reclaiming construction work in Minami-Honmoku Pier Area, Yokohama. The premix water cut-off method is a construction method where packed sediment is mixed with a small amount of cement and a separation-preventive agent and then is thrown to develop ground. This time, to effectively re-use dredged soil and cohesive soil, these soils were mixed with a caking agent and placed onto the sea floor. The total length of construction was ca. 450m; the maximum water depth was 30m; and the placed amount was 79705m[sup 3]. Four 50m[sup 3]/h-class mud treating machines were mounted on two ships, to which a slurry plant ship and a mud treating plant were joined to make-up a fleet. The forced pump feed method was adopted for placing and construction was completed with a control system perfect in workmanship and quality. 15 figs., 6 tabs.

  9. UV Filtering of Dye-Sensitized Solar Cells: The Effects of Varying the UV Cut-Off upon Cell Performance and Incident Photon-to-Electron Conversion Efficiency

    Directory of Open Access Journals (Sweden)

    Matthew Carnie

    2012-01-01

    Full Text Available With current technology, UV filters are essential to ensure long-term dye-sensitized solar cell (DSC stability. Blocking photons, however, will have an obvious effect on device performance and upon its incident photon-to-current conversion efficiency (IPCE. Filters have been applied to DSC devices with a range of cut-off wavelengths in order to assess how different levels of filtering affect the performance and IPCE of devices made with three different dyes, namely N719, Z907, and N749. It is shown that dyes that extend their IPCE further into the NIR region suffer lesser relative efficiency losses due to UV filtering than dyes with narrower action spectra. Furthermore, the results are encouraging to those working towards the industrialisation of DSC technology. From the results presented it can be estimated that filtering at a level intended to prevent direct band gap excitation of the TiO2 semiconductor should cause a relative drop in cell efficiency of no more than 10% in forward illuminated devices and no more than 2% in reverse illuminated devices.

  10. Feed Cam Mechanism Design of Cut-off Saws Based on ANSYS%基于ANSYS的林间锯段机进料凸轮机构设计

    Institute of Scientific and Technical Information of China (English)

    战丽; 宫乙帅; 王毅亮

    2012-01-01

    A feeding mechanism is one of the main components of forest self-propelled small-scale cut-off saws, and its rational design determines the efficiency of the entire cutting process. The exact cutting speed is determined through the comparative analysis of theoretical calculation and actual processing empirical value, based on which feed speed is calculated. In order to ensure steady processing, a feed cam is designed and finite element analysis of it is made using ANSYS software to verify the stiffness and strength of the feed mechanism. The mechanism is rationally optimized in order to provide a theoretical basis for the design of the feed mechanism of sawing operation.%进料机构是林间自走式小型锯段机的主要部件之一,其设计的合理与否影响整个锯切加工过程。通过理论计算值与实际加工经验值的对比分析确定切削速度,进而计算出进料速度。为保证加工平稳设计了进料凸轮机构,并利用ANSYS软件对其进行有限元分析,验证凸轮机构的刚度与强度。对该结构进行合理优化,为锯切进料机构的设计提供理论依据。

  11. Neck circumference as an anthropometric measure of obesity in diabetics

    Directory of Open Access Journals (Sweden)

    Jagadamba Aswathappa

    2013-01-01

    Full Text Available Background: Obesity is a risk factor for type 2 diabetes mellitus. Insulin resistance is associated with visceral subcutaneous fat content. Neck circumference (NC is a marker of upper body subcutaneous adipose tissue distribution. Aim: The aim of this study is to compare NC in diabetics and non-diabetics and to correlate NC with other anthropometric measures. Materials and Methods: A cross-sectional study was conducted in 350 type 2 diabetics and 350 non-diabetics of >30 years of age. Anthropometric parameters like body mass index (BMI, waist circumference (WC, hip circumference, and NC were measured. Independent t-test and Pearson′s correlation were the tests of significance done to analyze quantitative data. Results: There was positive correlation of NC, BMI, and index of central obesity. The NC in diabetics was significantly higher than in non-diabetics (P 36 cm in diabetics and >37 cm in non-diabetics was the best cutoff value to determine subjects with central obesity. Conclusion: The findings indicated that NC may be used both in clinical practice and in epidemiologic studies as a straightforward and reliable index. It is an economical easy to use test with less consumption of time and correlates well with other standard anthropometric parameters.

  12. Measuring Waist Circumference in Disabled Adults

    Science.gov (United States)

    Waninge, A.; Ligthart, K. A. M.; Kramer, J.; Hoeve, S.; van der Schans, C. P.; Haisma, H. H.

    2010-01-01

    To date, it is unknown whether waist circumference can be measured validly and reliably when a subject is in a supine position. This issue is relevant when international standards for healthy participants are applied to persons with severe intellectual, sensory, and motor disabilities. Thus, the aims of our study were (1) to determine the validity…

  13. The value of added opposed/in phase MRI sequences in characterization of the focal vertebral bone marrow lesions in oncology patients

    Directory of Open Access Journals (Sweden)

    Hoda A. El-Kareem A. El-Samie

    2015-09-01

    Conclusion: The added opposed/in phase MRI sequences with SIR cut-off value of 1, were proved to be a non-invasive sensitive tool to differentiate between malignant and benign lesions in oncology patients.

  14. Impact analysis of different cut-off plans on river floods%不同裁弯取直方案对河道行洪影响分析

    Institute of Scientific and Technical Information of China (English)

    郭志学; 钟友胜; 吕伟

    2014-01-01

    T wo-dimensional numerical models were used to analyze the impacts of tw o cut-off plans on river floods in the up-stream of Fu River in Chengdu City. T he first cut-off plan assigned the elevation difference of the curve reach to the whole riv-er, and the second cut-off plan assigned t he elevation difference to one step-fall. The results show ed that ( 1) both cut-off plans can decrease the wat er level and increase the velocity in the upstream of orthodontic curved river channel and w eaken the flow dynamics in the old river channel; ( 2) the first cut-off plan has higher w eakening impacts on the flow discharge and hydrody-namic parameters in the old river channel than the second cut- off plan; ( 3) the second cut-off plan can cause high velocity in the local area, w hich is disadvantageous to the river channel erosion and has apparent noise pollution; and ( 4) the first plan is similar to the natural cut-off river progress by assigning the elevation difference to the w hole river channel therefore it is more reasona-ble.%采用二维数学模型,对成都市府河上游段河道裁弯取直工程进行了对比分析,探讨了弯颈落差全河段分摊和设置集中跌落两种不同裁弯取直方案对河道行洪的影响。结果表明,不同裁弯取直方案均会造成畸弯河道上游主槽水位降低和流速的增加,并引起老河湾水流动力的减弱;落差分摊方案对老河湾分流量及水流动力参数的消弱作用更大,上游河道水位降低更为明显;从流速沿程分布规律来看,设置集中跌落的裁弯取直方案将引起局部河段流速过高,对河道冲刷安全不利,且存在明显的噪声污染。但是,落差分摊方案将弯颈落差通过工程措施直接分摊到整治河段范围,更接近自然裁弯取直的河道演变过程,因此该工程方案更为合理。

  15. Mid-arm circumference and mid-arm/head circumference ratios: standard curves for anthropometric assessment of neonatal nutritional status.

    Science.gov (United States)

    Sasanow, S R; Georgieff, M K; Pereira, G R

    1986-08-01

    Two hundred four neonates, 25 to 42 weeks estimated gestational age (EGA), were measured on day 2 or 3 of life for upper mid-arm circumference (MAC) and head circumference. Regression analysis was used to construct standard curves for MAC versus EGA and mid-arm circumference/head circumference ratio (MAC/HC) versus EGA. Correlation coefficients were 0.93 for MAC versus EGA, and 0.84 for MAC/HC versus EGA. MAC, MAC/HC, and head circumference were also highly correlated with birth weight. These measurements may more accurately assess intrauterine growth and body proportionality at birth than weight, length, and head circumference. PMID:3734968

  16. Limb circumference and performance in junior tennis players

    OpenAIRE

    Nuhmani, Shibili; Shaphe, MD Abu; Waseem, MD

    2013-01-01

    Objective: To find out the correlation of limb circumference with functional performance of junior tennis players Design: correlation design Setting: Tennis academies all over Delhi and National Capital Region Subjects: 100 junior tennis players Measurement: The limb circumferences (thigh circumference and calf circumference) of each athlete have measured and have been correlated with all the three functional performance tests. Result and conclusion: Pearson's correlation test was used to cor...

  17. Determinación del valor umbral de tamizaje de la glicemia en ayunas, para identificar la intolerancia a los carbohidratos, en mujeres con síndrome de ovarios poliquísticos Determination of fasting plasma glucose cut-off valuefor the identification of abnormal carbohydrate tolerance in women with polycystic ovarian syndrome

    Directory of Open Access Journals (Sweden)

    Yai-Linn Chang

    2012-12-01

    Full Text Available Objetivo: determinar el valor predictivo de la glucosa en ayunas, para identificar intolerancia a los carbohidratos en pacientes con síndrome de ovario poliquístico. Materiales y métodos: a 100 mujeres con diagnóstico de síndrome de ovario poliquístico, se les realizó una prueba de tolerancia a 75 g de glucosa. Resultados: la sensibilidad para una cifra umbral de 101 mg/dl, fue de un 41,7%, IC 95%: 23% - 63%, y la especificidad de un 92,1%, IC95 %:83% - 97%. Con un valor predictivo positivo del 62,5%, y negativo del 83,3%.El valor de corte óptimo fue de 93mg /dl, con una sensibilidad del 75%, IC 95%: 53%-89%, y una especificidad del 73,7%, IC 95%: 62%-83%. La cifra de corte umbral óptima de la glicemia en ayunas para el tamizaje de intolerancia en mujeres con SOPQ, fue de 93 mg/dl. Conclusiones: las recomendaciones actuales para diagnosticar intolerancia a los carbohidratos, en mujeres con síndrome de ovario poliquístico, no son apropiadas.Objective: To determine the predictive value of fasting glucose to identify abnormal carbohydrate tolerance in patients with polycystic ovary syndrome. Materials and methods: 100 women diagnosed with polycystic ovary syndrome underwent a tolerance test toa 75 gdose of glucose. Results: Sensitivity for a threshold value of 101 mg/dl was 41.7% (95% C.I.: 23% - 63% and specificity 92.1% (95% C.I.: 83% - 97%; with a positive predictive value of 62.5% and a negative predictive value of 83.3%. The optimum cut-off value was 93 mg/dL, with a sensitivity of 75% (95% C.I.: 53% - 89% and a specificity of 73.7% (95% C.I.: 62% - 83%. The optimum fasting plasma glucose cut-off value for intolerance in women with PCOS was 93md/dL. Conclusions: The current recommendations for diagnosing abnormal carbohydrate tolerance in women with polycystic ovary syndrome are not appropriate.

  18. Optimal cut-off point of BMI on age at menarche among Han nationality girls%汉族女生月经初潮年龄BMI最佳临界值研究

    Institute of Scientific and Technical Information of China (English)

    张敏婕; 朱丁; 徐勇; 沈惠芬; 钱红丹

    2011-01-01

    Objective To analyze body mass index (BMI) and weight by using receiver operating curve(ROC) among girls of Han nationality, and to find the optimal cut-off point of BMI on age at menarche. Methods With the stratified cluster sampling, 10-14 years old Chinese girls were questionnaired. Both retrospective and prospective ways were used to investigate the age at menarche. Questionnaire also included the students' age at menarche, height and weight. Then the ROC was operated to analyze the areas under curve(ADC) and the sensitivity and specificity of optimal cut-off point of BMI and weight were calculated. Results The average age of menarche was 12.26, the AUC of BMI and weight were 0.68 and 0. 73. The optimal cut-off point of weight on different age groups were different, but the optimal cut-off point of BMI on age at menarche tended to be uniform. Conclusion The optimal cut-off point of BMI is applicable in predicting the age of menarche, and more verification should be carried out in the future when applying this optimal cut-off point.%目的 应用受试者工作特征ROC曲线分析BMI、体重曲线下面积,探讨女性月经初潮BMI的最佳临界值.方法 采用分层整群抽样方法,对无锡市10~14岁7 300名汉族女生进行问卷调杳,了解月经初潮年龄及身高、体重.绘制ROC曲线,观察曲线下面积,计算BMI、体重最佳临界值的灵敏度和特异度.结果 女生月经来潮率为40.45% (2 953/7 300),月经初潮平均年龄为12.26岁;不同年龄组已潮组和未潮组女生体重、BMI差异均有统计学意义(P值均<0.05).BMI、体重的ROC曲线下面积分别为0.68和0.73;不同年龄组女生体重有不同的最佳临界值,但不同年龄组BMI最佳临界值趋于一致.结论BMI最佳临界值对预测是否来潮有重要的应用价值,但其效果有待在实际应用中加以进一步验证.

  19. Optimal Cut-Offs of Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) to Identify Dysglycemia and Type 2 Diabetes Mellitus: A 15-Year Prospective Study in Chinese

    Science.gov (United States)

    Lee, C. H.; Shih, A. Z. L.; Woo, Y. C.; Fong, C. H. Y.; Leung, O. Y.; Janus, E.; Cheung, B. M. Y.; Lam, K. S. L.

    2016-01-01

    Background The optimal reference range of homeostasis model assessment of insulin resistance (HOMA-IR) in normal Chinese population has not been clearly defined. Here we address this issue using the Hong Kong Cardiovascular Risk Factor Prevalence Study (CRISPS), a prospective population-based cohort study with long-term follow-up. Material & Methods In this study, normal glucose tolerance (NGT), impaired fasting glucose (IFG), impaired glucose tolerance (IGT) and type 2 diabetes mellitus (T2DM) were defined according to the 1998 World Health Organization criteria. Dysglycemia referred to IFG, IGT or T2DM. This study comprised two parts. Part one was a cross-sectional study involving 2,649 Hong Kong Chinese subjects, aged 25–74 years, at baseline CRISPS-1 (1995–1996). The optimal HOMA-IR cut-offs for dysglycemia and T2DM were determined by the receiver-operating characteristic (ROC) curve. Part two was a prospective study involving 872 subjects who had persistent NGT at CRISPS-4 (2010–2012) after 15 years of follow-up. Results At baseline, the optimal HOMA-IR cut-offs to identify dysglyceia and T2DM were 1.37 (AUC = 0.735; 95% confidence interval [CI] = 0.713–0.758; Sensitivity [Se] = 65.6%, Specificity [Sp] = 71.3%] and 1.97 (AUC = 0.807; 95% CI = 0.777–0.886; Se = 65.5%, Sp = 82.9%) respectively. These cut-offs, derived from the cross-sectional study at baseline, corresponded closely to the 75th (1.44) and 90th (2.03) percentiles, respectively, of the HOMA-IR reference range derived from the prospective study of subjects with persistent NGT. Conclusions HOMA-IR cut-offs, of 1.4 and 2.0, which discriminated dysglycemia and T2DM respectively from NGT in Southern Chinese, can be usefully employed as references in clinical research involving the assessment of insulin resistance. PMID:27658115

  20. Circunferência da cintura e índice de massa corporal como preditores da hipertensão arterial Waist circumference and body mass index as predictors of hypertension

    Directory of Open Access Journals (Sweden)

    Maria do Rosário Gondim Peixoto

    2006-10-01

    hypertension was defined as systolic pressure > 140 mmHg, or diastolic pressure > 90 mmHg, or utilization of hypotensive drugs. Multiple logistic regression analysis was used to evaluate the associations between anthropometric indexes and hypertension. The Receiver Operating Characteristic (ROC curve analysis was used to evaluate sensitivity and specificity of BMI (> 30 and level 2 WC as predictive factors of hypertension, and to determine the best predictive cut-off points for hypertension. RESULTS: WC was associated with hypertension in both genders. Level 2 WC and BMI >30 kg/m² showed a low sensitivity in identifying hypertension. The best predictive cut-off points for hypertension coincided with level 1 WC (> 80 cm and with BMI >25 kg/m² (overweight for women, and were lower than the values of level 1 WC and of overweight for men. CONCLUSION: Level 2 WC and BMI > 30 kg/m² are not adequate to identify the groups at the highest risk of hypertension, since this risk rises with small increases in adiposity.

  1. Decreasing "circumference" for increasing "radius" in axially symmetric gravitating systems

    CERN Document Server

    Lubo, M

    2001-01-01

    Apart from the flat space with an angular deficit, Einstein general relativity possesses another cylindrically symmetric solution. Because this configuration displays circles whose "circumferences" tend to zero when their "radius" go to infinity, it has not received much attention in the past. We propose a geometric interpretation of this feature and find that it implies field boundary conditions different from the ones found in the literature if one considers a source consisting of the scalar and the vector fields of a U(1) system . To obtain a non increasing energy density the gauge symmetry must be unbroken . For the Higgs potential this is achieved only with a vanishing vacuum expectation value but then the solution has a null scalar field. A non trivial scalar behaviour is exhibited for a potential of sixth order. The trajectories of test particles in this geometry are studied, its causal structure discussed. We find that this bosonic background can support a normalizable fermionic condensate but not suc...

  2. Stressful life events in pregnancy and head circumference at birth

    DEFF Research Database (Denmark)

    Obel, Carsten; Hedegaard, Morten; Henriksen, Tine Brink;

    2003-01-01

    pregnancy and head circumference measured shortly after birth following standard procedures. No association was found between experienced or perceived stress as a result of life events during pregnancy and head circumference in the infants. In conclusion, stress in pregnancy may influence foetal brain...... development in many ways, but we found no support for an effect on the size of the brain as measured by head circumference at birth. Udgivelsesdato: 2003-Dec...

  3. Waist circumference reference values in Beijing versus the national values in detecting cardiovascular risk factors in 7-18 years old children%北京与全国7~18岁儿童青少年腰围适宜界值对心血管危险因素筛查效度的对比分析

    Institute of Scientific and Technical Information of China (English)

    孟玲慧; 罗纳; 程红; 侯冬青; 赵小元; 米杰

    2011-01-01

    目的 比较北京与全国7~18岁儿童青少年腰围(WC)适宜界值对心血管危险因素的筛查效度和预测价值.方法 采用LMS曲线拟合法拟合北京市21 787名3~18岁儿童青少年WC百分位曲线,以性别、年龄别第75百分位数(P75)及第90百分位数(P90)作为北京市7~18岁儿童青少年WC适宜界值.在4927名7~18岁儿童青少年组成的验证人群中,比较北京和全国7~18岁儿童青少年WC适宜界值对高血压、脂代谢紊乱、糖耐量受损及非酒精性脂肪肝(NAFLD)等心血管危险因素诊断的特异度和灵敏度,通过回归分析比较该2个界值对心血管危险因素的预测价值.结果 北京市3~18岁儿童青少年WC适宜界值分别为:男童:P75为51.8~78.2 cm,P90为54.0~86.0 cm;女童:P75为50.8~72.1 cm,P90为53.3~77.3 cm.北京与全国界值筛查心血管危险因素的灵敏度分别为:高血压:男童分别为0.74和0.82,女童分别为0.68和0.73;低高密度脂蛋白胆固醇:男童分别为0.69和0.80,女童分别为0.64和0.71;NAFLD:男童分别为0.98和1.00,女童均为0.93.北京与全国界值筛查心血管危险因素的特异度分别为:高血压:男童分别为0.62和0.53,女童分别为0.68和0.63;低高密度脂蛋白胆固醇:男童分别为0.59和0.50,女童分别为0.66和0.61;NAFLD:男童分别为0.60和0.50,女童分别为0.56和0.51.北京和全国7~18岁儿童青少年WC的P90适宜界值预测心血管危险因素的OR(95%CI)值分别为:高血压分别为6.3(5.2~7.7)和6.0(4.9~7.4);空腹血糖受损均为1.3(1.1~1.5);脂代谢紊乱均为2.9(2.5~3.4);NAFLD分别为49.1(12.0~201.6)和69.8(9.7~504.2).结论 北京市7~18岁儿童青少年WC适宜界值可提高对心血管危险因素筛查的特异度;除对NAFLD预测价值低于全国界值外,北京界值对其他心血管危险因素的预测价值与全国界值没有明显差别.%Objective To compare the optimal references of waist circumference (WC) between

  4. A CORRELATION BETWEEN HEAD CIRCUMFERENCE AND CHEST, WAIST AND HIP CIRCUMFERENCES IN YOUNG POPULATION OF KERALA

    Directory of Open Access Journals (Sweden)

    Suchitra S

    2015-01-01

    Full Text Available INTRODUCTION: The head and body measurements in human body vary because of differences in anatomical features which may be influenced by environmental or geographical factors. This also brings about differences in their bony structure and fat distribution. OBJECTIVES: The purpose of this study was to find the correlation between the Head circumference and Chest, Waist & Hip circumferences. METHODS: Head, Chest, Waist, and Hip circumferences were taken for 347 subjects. Then the subjects were classified as Total sample, Males and Females. Data was tabulated and statistical analysis (unpaired t test was carried out to find if any statistical significance between Cephalometric and Anthropometric measurements existed. The correlation co - efficient between head measurement and body measurements was determined using Karl Pearson’s formula. RESULTS: Statistically significant difference was observed for all parameters. Statistically significant correlations were observed in Total sample, Males and Females. CONCLUSION: These measurements will serve as a future frame work for comparing the craniofacial dimensions for differentiation of other racial groups. These are also useful in, anthropometric studies, cosmetology, and reconstructive surgery as well as garment industries. This is also an attempt to help a forensic scientist to identify the individual from dismembered and mutilated body parts in forensic examinations.

  5. Waist and hip circumferences and all-cause mortality

    DEFF Research Database (Denmark)

    Bigaard, J; Frederiksen, K; Tjønneland, A;

    2004-01-01

    , respectively, and 1.45 (95% CI: 1.34, 1.57) and 1.22 (95% CI: 1.14, 1.31) times higher per 10% larger waist circumference. The adequacy of the waist-to-hip ratio as a substitute for separate measurements of waist and hip circumferences depended on which other variables the analysis was adjusted for, indicating...

  6. Study on Spectral Response beyond Cut off of Cs2Te Ultra Violet Photo Cathode%Cs2Te紫外光电阴极带外光谱响应研究

    Institute of Scientific and Technical Information of China (English)

    李晓峰; 姜云龙; 李靖雯; 姬明; 李金沙; 张勤东

    2015-01-01

    With the strong light as the input, the spectral response beyond cut off of the Cs2Te ultraviolet photo cathode is measured. The results show that the spectral response of the Cs2Te cathode beyond cut off is lower, and is several orders of magnitude lower than that within the cutoff. The peak sensitivity of within cutoff can be greater than 40mA/W, but the spectral response beyond cut off can be as low as 10-3mA/W order of magnitude at 550nm wavelength. The divergence of spectral response beyond cut off of Cs2Te ultraviolet photo cathode made with the same process is large. According to the test of three different visible light photo cathode, namely Na2KSb (Cs), K2CsSb and GaAs (Cs-O), it is proved that these three kinds of visible light photo cathode also have certain spectral response. The test data show that the spectral response beyond cut off is related to the size of the work function (positive electron affinity cathode) or the band gap (negative electron affinity cathode). The smaller the work function or the band gap is, the greater the spectral response beyond cut off. The spectral response beyond cut off is a common phenomenon for photo cathode. The reason is that the effect of multiphoton absorption, i.e. multiphoton effect. Because Cs2Te photo cathodes are present spectral response beyond cut off, thus, when solar blind image intensifier adopting Cs2Te photo cathodes is used in the strong sun light or straight to the sun's light, detected signal would be disturbed by the light of the sun, or by the image of the sun like. Thus solar blind image intensifier does not have the sun blind characteristic. In order to make the solar blind ultraviolet image intensifier fully equipped with solar blind characteristic, solar blind filter is needed. Combining solar blind filter with spectral response of Cs2Te cathode beyond cut off, solar blind image intensifier can achieve complete solar blind. So in the practical application of ultra violet detecting, the solar

  7. Waist circumference and body composition in relation to all-cause mortality in middle-aged men and women

    DEFF Research Database (Denmark)

    Bigaard, J; Frederiksen, K; Tjønneland, A;

    2005-01-01

    OBJECTIVE: Waist circumference is directly related to all-cause mortality when adjusted for body mass index (BMI). Body fat and fat-free body mass, when mutually adjusted, show with increasing values an increasing and decreasing relation to all-cause mortality. We investigated the association...... of waist circumference and body composition (body fat and fat-free mass), mutually adjusted, to all-cause mortality. DESIGN: A Danish prospective cohort study with a median follow-up period of 5.8 y. SUBJECTS: In all, 27 178 men and 29 875 women, born in Denmark, aged 50-64 y, and without diagnosis...... of cancer at the time of invitation. MEASUREMENTS: Waist circumference and body composition estimated from impedance measurements. Cox's regression models were used to estimate the mortality rate ratios (RR). RESULTS: Waist circumference was strongly associated with all-cause mortality after adjustment...

  8. Quantum fields and Poisson processes. Pt. 2. Interaction of boson-boson and boson-fermion fields with a cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Bertrand, J. (Paris-7 Univ., 75 (France). Lab. de Physique Theorique et Mathematique); Gaveau, B.; Rideau, G. (Paris-6 Univ., 75 (France). Dept. de Mathematiques)

    1985-05-01

    Quantum field evolutions are written as expectation values with respect to Poisson processes in two simple models; interaction of two boson fields (with conservation of the number of particles in one field) and interaction of a boson with a fermion field. The introduction of a cutt-off ensures that the expectation values are well-defined.

  9. Abdominal circumference contributes to absence of wasting in Brazilian children.

    Science.gov (United States)

    César, J A; Victora, C G; Morris, S S; Post, C A

    1996-11-01

    A number of population groups in Latin America show high prevalences of stunting (low height-for-age) despite very low rates of wasting (weight-for-height deficits). One possible explanation for this phenomenon is an increase in abdominal circumference, which would affect children's weights but not their heights. This study was designed to describe the abdominal circumferences of a group of poor children from Northeast Brazil, and to relate these to their weight-for-weight z-score. Children (n = 252) participating in a government growth monitoring program were studied. The prevalence of stunting (below -2 SD) was 26.2%, but only 1.2% were wasted. Abdominal circumferences increased with age up to 36 mo, followed by a slight decline after 48 mo. Abdominal circumference was the anthropometric measurement most closely associated with weight-for-height, with a coefficient of determination of 41%. Even after adjusting for arm circumference, abdominal circumference continued to explain 16% of the variation in weight-for-height. Despite slight differences in measurement techniques, the study children had consistently larger abdominal girths than a sample of North American children. These findings must be verified by replication but highlight a possible contribution of abdominal circumference in the determination of levels of wasting.

  10. Fetal weight estimation by ultrasonic measurement of abdominal circumference.

    Science.gov (United States)

    Kearney, K; Vigneron, N; Frischman, P; Johnson, J W

    1978-02-01

    The purpose of this study was to compare ultrasonic measurements of fetal abdominal circumference to ultrasonic measurements of fetal biparietal diameter, as a means of estimating fetal body weight. Of 58 fetuses who had abdominal circumferences measured, 48 (82%) of the predicted weights were within 15% of the actual birth weights. Forty-four of the same 58 fetuses had satisfactory biparietal diameter measurements, but only 21 (48%) of the predicted weights were within 15% of the actual birthweights. Ultrasonic measurement of abdominal circumference appears to be a more reliable index of fetal body weight than other currently available techniques.

  11. Age of Equalization of Head and Chest Circumference in Term Normal and Small for Gestational Age Infants

    Directory of Open Access Journals (Sweden)

    Anil Kumar Bhalla

    2012-08-01

    Full Text Available The dynamics of the timing of equalization of the head and chest circumference in full-term 74 normal Punjabi and 200 small for gestational age (SGA infants of the two sexes born to parents representing upper socio-economic strata was serially studied. A regular increase in both the head and chest circumference of normal Punjabi and SGA infants of the two sexes was noticed between 1 to 12 months of age. Normal Punjabi infants of the two sexes as compared to their SGA counterparts possessed significantly (p=0.001 larger head and chest circumference during first year of life. In general, both Punjabi and SGA male infants possessed greater head and chest circumference values than their respective female peers throughout the study span. Amongst normal male and female Punjabi infants equalization of head and chest circumference took place by 4 and 5 months of age respectively. While, the equalization of head and chest circumference never occurred amongst SGA of both the sexes between 1 to 12 months of age. This clearly shows that SGA infants as compared to normal Punjabi peers remain undernourished during infancy and failed to compensate for the effect of earlier nutritional insult experienced by them during pre-natal life.

  12. Accuracy of Neck Circumference in Classifying Overweight and Obese US Children.

    Science.gov (United States)

    Kim, Youngwon; Lee, Jung-Min; Laurson, Kelly; Bai, Yang; Gaesser, Glenn A; Welk, Gregory J

    2014-01-01

    Objective. To evaluate classification accuracy of NC and compare it with body mass index (BMI) in identifying overweight/obese US children. Methods. Data were collected from 92 children (boys: 61) aged 7 to 13 over a 2-year period. NC, BMI, and percent of body fat (BF%) were measured in each child and their corresponding cut-off values were applied to classify the children as being overweight/obese. Classification accuracy of NC and BMI was systematically investigated for boys and girls in relation to true overweight/obesity categorization as assessed with a criterion measure of BF% (i.e., Bod Pod). Results. For boys, Cohen's κ (0.25), sensitivity (38.1%), and specificity (85.0%) of NC were smaller in comparison with Cohen's κ (0.57), sensitivity (57.1%), and specificity (95.0%) of BMI in relation to BF% categorization. For girls, Cohen's κ (0.45), sensitivity (50.0%), and specificity (91.3%) of NC were smaller in comparison with Cohen's κ (0.52), sensitivity (50.0%), and specificity (95.7%) of BMI. Conclusion. NC measurement was not better than BMI in classifying childhood overweight/obesity and, for boys, NC was inferior to BMI. Pediatricians and/or pediatric researchers should be cautious or wary about incorporating NC measurements in their pediatric care and/or research.

  13. Thigh circumference and risk of heart disease and premature death

    DEFF Research Database (Denmark)

    Heitmann, Berit L; Frederiksen, Peder

    2009-01-01

    OBJECTIVE: To examine associations between thigh circumference and incident cardiovascular disease and coronary heart disease and total mortality. DESIGN: Prospective observational cohort study with Cox proportional hazards model and restricted cubic splines. SETTING: Random subset of adults...... in Denmark. PARTICIPANTS: 1436 men and 1380 women participating in the Danish MONICA project, examined in 1987-8 for height, weight, and thigh, hip, and waist circumference, and body composition by impedance. MAIN OUTCOME MEASURES: 10 year incidence of cardiovascular and coronary heart disease and 12.5 years...... of follow-up for total death. RESULTS: A small thigh circumference was associated with an increased risk of cardiovascular and coronary heart diseases and total mortality in both men and women. A threshold effect for thigh circumference was evident, with greatly increased risk of premature death below...

  14. Change in neck circumference after shoulder arthroscopy: An observational study

    Directory of Open Access Journals (Sweden)

    Shrividya Chellam

    2015-01-01

    Full Text Available Background and Aims: Shoulder arthroscopy requires fluid irrigation, which causes soft-tissue oedema around chest, neck, and arm intraoperatively, leading to postoperative airway complications. We decided to study the incidence of increase in the neck circumference in shoulder arthroscopy and its effects on the airway. Methods: We studied 32 cases of shoulder arthroscopies over a period of 1-year, performed under general anaesthesia with interscalene block. The neck circumference of patients before and after the procedure was measured along with other parameters. The endotracheal tube cuff was deflated at the end of surgery to determine air leak around the tube. The negative leak test suggested airway oedema. Results: Thirty out of 32 patients showed positive air leak test. The average change in neck circumference was 1.17 ± 1.16 cm and all could be extubated uneventfully. Two showed negative leak test with an increase in neck circumference by 4.5 and 6.4 cm and were not extubated. Multiple regression analysis for risk factors showed intraoperative hypertension as a single predictor for an increase in neck circumference. Conclusion: Change in the neck circumference beyond 4 cm may suggest airway compromise and below 4 cm, airway compromise is unlikely even in the presence of extensive soft-tissue oedema around the shoulder, upper arm and chest.

  15. 1670 ER-LOCK: NEXT GENERATION AUTO THEFT PREVENTION SYSTEM USING SMART GRAVITATIONAL LOCK VEHICLE TRACKING WITH GPS FENCING AND REMOTE FUEL CUT-OFF

    Directory of Open Access Journals (Sweden)

    S. Philomina

    2015-10-01

    Full Text Available Introduction trendy technology, here we have a tendency to incorporating parts of mechanical, electrical, electronic, code and safety engineering as applied to the look, manufacture and operation of motorcycles, vehicles, buses and trucks. Recently we've got to implement a contemporary technology throughout the vehicles on a daily basis. Among those advanced feature is preventing the vehicle thievery by the unknown person. during this paper we have a tendency to visit a straightforward value effective technique of preventing vehicle thievery victimization GSM and GPS.

  16. Body circumferences: clinical implications emerging from a new geometric model

    Directory of Open Access Journals (Sweden)

    Gallagher Dympna

    2008-10-01

    Full Text Available Abstract Background Body volume expands with the positive energy balance associated with the development of adult human obesity and this "growth" is captured by two widely used clinical metrics, waist circumference and body mass index (BMI. Empirical correlations between circumferences, BMI, and related body compartments are frequently reported but fail to provide an important common conceptual foundation that can be related to key clinical observations. A two-phase program was designed to fill this important gap: a geometric model linking body volume with circumferences and BMI was developed and validated in cross-sectional cohorts; and the model was applied to the evaluation of longitudinally monitored subjects during periods of voluntary weight loss. Concepts emerging from the developed model were then used to examine the relations between the evaluated clinical measures and body composition. Methods Two groups of healthy adults (n = 494 and 1499 were included in the cross-sectional model development/testing phase and subjects in two previous weight loss studies were included in the longitudinal model evaluation phase. Five circumferences (arm, waist, hip, thigh, and calf; average of sum, C, height (H, BMI, body volume (V; underwater weighing, and the volumes of major body compartments (whole-body magnetic resonance imaging were measured. Results The evaluation of a humanoid geometric model based a cylinder confirmed that V derived from C and H was highly correlated with measured V [R2 both males and females, 0.97; p 0.5. The scaling of individual circumferences to V/H varied, with waist the highest (V/H~0.6 and calf the lowest (V/H~0.3, indicating that the largest and smallest between-subject "growth" with greater body volume occurs in the abdominal area and lower extremities, respectively. A stepwise linear regression model including all five circumferences2 showed that each contributed independently to V/H. These cross

  17. Membrane molecular weight cut off impacts immunological safety of a novel bioartificial liver system%膜截流分子量在新型生物人工肝免疫安全性中的作用研究

    Institute of Scientific and Technical Information of China (English)

    张悦; 施晓雷; 韩冰; 顾劲扬; 褚薛慧; 肖江强; 任昊桢; 檀家俊; 丁义涛

    2012-01-01

    Objective To investigate the influence of membrane molecular weight cut off in our bioartificial liver(BAL)system.Methods Beagle dogs were used for a model of acute liver failure through D-galactosamine administration.The acute liver failure Beagles were divided into two groups by the membrane molecular weight cut off.Group A was treated with BAL containing 200 kDa retention rating membrane.Group B was treated with BAL containing 1200 kDa retention rating membrane.Each group underwent two six-hour BAL treatments that were performed on day 1 and day 21.BAL medium were examined and levels of IgG,IgM,and complement hemolytic unit of 50%(CH50)antibodies were measured in all Beagles and.Results BAL treatment was associated with a significant decline in levels of CH50.1200 kDa group experienced a significant increase in levels of IgG and IgM after two BAL treatments.Significant levels of canine proteins were detected in BAL medium from 1200 kDa group.Conclusions Xenogeneic immune response in the BAL system was influenced by membrane molecular weight cut off.%目的 探讨膜截流分子量对新型生物人工肝(bioartificial liver,BAL)支持系统免疫安全性的影响.方法 应用D氨基半乳糖静脉滴注比格犬建立肝功能衰竭模型.急性肝功能衰竭犬根据BAL隔离膜截流分子量的大小分为两组:A组:200 kD组;B组:1200 kD组.两组均接受新型2次BAL治疗,每次6h.观察各组体内IgG、IgM、50%补体溶血单位(CH50)变化及反应器内抗体漏过情况.结果 在第一次BAL治疗后两组的IgG和IgM水平均没有发生明显的变化.在第2次治疗后第7天,1200 kD组的IgG和IgM水平明显升高,200 kD组IgG和IgM水平仍未出现明显上升或下降.在第一次BAL治疗后,两组CH50都出现暂时性的下降,在治疗后1h达到最低值,而后缓步上升,在7d后恢复至治疗前水平.反应器内培养液中IgG、IgM及CH50检测结果显示,1200 kD组在治疗结束后IgG、IgM及CH50

  18. Effect of Body Mass Index on All-cause Mortality and Incidence of Cardiovascular Diseases - Report for Meta-Analysis of Prospective Studies on Optimal Cut-off Points of Body Mass Index in Chinese Adults

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Objective To verify the optimal cut-off points for overweight and obesity in Chinese adults based on the relationship of baseline body mass index (BMI) to all-cause mortality, and incidence of cardiovascular diseases from pooled data of Chinese cohorts. Methods The prospective study data of existing cohort studies in China were collected, and the age-adjusted all-cause mortality stratified by BMI were estimated. The similar analysis was repeated after excluding deaths within the first three years of follow-up and after excluding smokers. The incidence of age-adjusted coronary heart disease (CHD) and stroke stratified by BMI were also analyzed. Multiple Cox regression coefficients of BMI for the incidence of CHD and stroke after controlling other risk factors were pooled utilizing the methods of weighting by inverse of variance to reveal whether BMI had independent effect and its strength on the incidence of CHD and stroke. Results The data of 4 cohorts including 76 227persons, with 745 346 person-years of follow-up were collected and analyzed. The age-adjusted allcause mortality stratified by BMI showed a U-shaped curve, even after excluding deaths within the first three years of follow-up and excluding smokers. Age-adjusted all-cause mortality increased when BMI was lower than 18.5 and higher than 28. The incidence of CHD and stroke, especially ishemic stroke increased with increasing BMI, this was consistent with parallel increasing of risk factors. Cox regression analysis showed that BMI was an independent risk factor for both CHD and stroke. Each amount of 2 kg/m2 increase in baseline BMI might cause 15.4%, 6.1% and 18.8 % increase in relative risk of CHD, total stroke and ischemic stroke. Reduction of BMI to under 24 might prevent the incidence of CHD by 11% and that of stroke by15 % for men, and 22 % of both diseases for women. Conclusion BMI ≤18.5, 24-27.9 and ≥28 (kg/m2) is the appropriate cut-off points for underweight, overweight and obesity in

  19. Prediction of Abdominal Visceral Obesity From Body Mass Index,Waist Circumference and Waist-hip Ratio in Chinese Adults:Receiver Operating Characteristic Curves Analysis

    Institute of Scientific and Technical Information of China (English)

    WEI-PING JIA; JUN-XI LU; KUN-SAN XIANG; YU-QIAN BAO; HUI-JUAN LU; LEI CHEN

    2003-01-01

    To evaluate the sensitivity and specificity of body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) measurements in diagnosing abdominal visceral obesity. Methods BMI, WC, and WHR were assessed in 690 Chinese adults (305 men and 385women) and compared with magnetic resonance imaging (MRI) measurements of abdominal visceral adipose tissue (VA). Receiver operating characteristic (ROC) curves were generated and used to determine the threshold point for each anthropometric parameter. Results 1) MRI showed that 61.7% of overweight/obese individuals (BMI≥25 kg/m2) and 14.2% of normal weight (BMI<25kg/m2) individuals had abdominal visceral obesity (VA≥ 100 cm2). 2) VA was positively correlated with each anthropometric variable, of which WC showed the highest correlation (r=0.73-0.77,P<0.001 ). 3) The best cut-off points for assessing abdominal visceral obesity were as followed: BMI of 26 kg/m2, WC of 90 cm, and WHR of 0.93, with WC being the most sensitive and specific factor. 4)Among subjects with BMI≥28 kg/m2 or WC≥95 cm, 95% of men and 90% of women appeared to have abdominal visceral obesity. Conclusion Measurements of BMI, WC, and WHR can be used in the prediction of abdominal visceral obesity, of which WC was the one with better accuracy.

  20. Association of neck circumference with general and abdominal obesity in children and adolescents: the weight disorders survey of the CASPIAN-IV study

    Science.gov (United States)

    Kelishadi, Roya; Djalalinia, Shirin; Motlagh, Mohammad Esmaiel; Rahimi, Ali; Bahreynian, Maryam; Arefirad, Tahereh; Ardalan, Gelayol; Safiri, Saeid; Hasani, Motahare; Asayesh, Hamid; Mansourian, Morteza; Qorbani, Mostafa

    2016-01-01

    Objectives This study aimed to evaluate the association of neck circumference (NC) with obesity to determine the sex-specific and age-specific optimal cut-off points of this measure in association with obesity in a national sample of the Iranian paediatric population. Methods This survey on weight disorders was conducted among a national sample of Iranian children and adolescents, aged 6–18 years. Using the area under the curve (AUC) of the receiver operator characteristic curves, we evaluated the association of NC with general and abdominal obesity. Results This national survey was conducted among 23 043 school students (50.8% boys) with a mean age (SD) of 12.55 (3.31) years. A significant association was documented between NC and other anthropometric measures in both sexes and in the whole population. In all age groups and genders, NC performed relatively well in classifying participants to overweight (AUC: 0.67 to 0.75, p<0.001), general obesity (AUC: 0.81 to 0.85, p<0.001) and abdominal obesity (AUC: 0.73 to 0.78, p<0.001). Conclusions NC can be considered as a simple time-saving clinical tool for obesity detection in large population-based studies in children and adolescents. It is significantly correlated with indices of adiposity and can reliably identify children with general and abdominal obesity in the Iranian paediatric population. PMID:27694487

  1. The PCA3 test for guiding repeat biopsy of prostate cancer and its cut-off score: a systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Yong Luo

    2014-06-01

    Full Text Available The specificity of prostate-specific antigen (PSA for early intervention in repeat biopsy is unsatisfactory. Prostate cancer antigen 3 (PCA3 may be more accurate in outcome prediction than other methods for the early detection of prostate cancer (PCa. However, the results were inconsistent in repeated biopsies. Therefore, we performed a systematic review and meta-analysis to evaluate the role of PCA3 in outcome prediction. A systematic bibliographic search was conducted for articles published before April 2013, using PubMed, Medline, Web of Science, Embase and other databases from health technology assessment agencies. The quality of the studies was assessed on the basis of QUADAS criteria. Eleven studies of diagnostic tests with moderate to high quality were selected. A meta-analysis was carried out to synthesize the results. The results of the meta-analyses were heterogeneous among studies. We performed a subgroup analysis (with or without inclusion of high-grade prostatic intraepithelial neoplasia (HGPIN and atypical small acinar proliferation (ASAP. Using a PCA3 cutoff of 20 or 35, in the two sub-groups, the global sensitivity values were 0.93 or 0.80 and 0.79 or 0.75, specificities were 0.65 or 0.44 and 0.78 or 0.70, positive likelihood ratios were 1.86 or 1.58 and 2.49 or 1.78, negative likelihood ratios were 0.81 or 0.43 and 0.91 or 0.82 and diagnostic odd ratios (ORs were 5.73 or 3.45 and 7.13 or 4.11, respectively. The areas under the curve (AUCs of the summary receiver operating characteristic curve were 0.85 or 0.72 and 0.81 or 0.69, respectively. PCA3 can be used for repeat biopsy of the prostate to improve accuracy of PCa detection. Unnecessary biopsies can be avoided by using a PCa cutoff score of 20.

  2. Learning circumference concepts from the didactical situations theory perspective

    Directory of Open Access Journals (Sweden)

    Valdir de Sousa Cavalcanti

    2013-08-01

    Full Text Available The circumference study, as its importance, it is one of the most relevant contents in the Analytical Geometry curriculum. However, the complexity of related concepts to this theme linked to the content fragmentation, it difficulties the students thinking of transforming geometrical problems into equations solution, systems or inequations. Within, in this article we present a partial report of a master research work, of qualitative mode, which aimed to develop and to evaluate an alternative methodology by using musical parody composition to the teaching of Mathematics in trying to contribute to the circumference concepts learning process. For that, we carried out a case study with 36 third year high school students of a public school from the city of Campina Grande, Paraíba. The research work was based and discussed on Brousseau Didactical Situation Theory. It was chosen triangulation technique for the data analyses, collected from interviews, questionnaires and a list of mathematical exercises. We concluded that the parody composition resource allowed the students better understand the concepts of center, ratio, cord and the definition of the general circumference equation, as they were capable to identify the relative positions which a circumference assumes in relation to an equation of a straight line and between two circumferences in the various concepts that differentiated them. Thus, we can state that the musical parody composition as a didactical resource can contribute to the learning of mathematical contents.

  3. Hyperinsulinemia and waist circumference in childhood metabolic syndrome

    International Nuclear Information System (INIS)

    To determine the characteristics of obese children presenting at a tertiary care hospital and the frequency of metabolic syndrome (MS) in them using two paediatric definitions. A total of 262 obese children aged 4-16 years, with BMI greater than 95 percentile were included. Children having obesity due to syndromes, medications causing weight gain, chronic illness and developmental disability were excluded. Blood pressure, waist circumference, fasting triglycerides, HDL, insulin and glucose levels were obtained. Obesity was defined as BMI > 95 percentile for age and gender according to the UK growth reference charts. The prevalence of metabolic syndrome was estimated using to the De Ferrantis and Lambert definitions. The frequency of MS varied between 16% and 52% depending on whether insulin levels were included in the definition. There was a significant positive correlation(r) when the metabolic parameters were correlated with waist circumference and insulin levels, except HDL which was negatively correlated. All the metabolic parameters like waist circumference, triglycerides, high density lipoprotein cholesterol and systolic blood pressure increased considerably across the insulin quartile (p < 0.05). The most noteworthy anthropometric and metabolic abnormality were the waist circumference (46.5%) and insulin levels (58%) respectively. There was a marked difference in the frequency of metabolic syndrome according to the definition used. The waist circumference and hyperinsulinemia are significant correlates of MS in obese children. There is a need for establishing normal insulin ranges according to age, gender and pubertal status. The clinical examination and investigations ought to include waist circumference and insulin levels together as a part of the definition of MS, for early detection and intervention of childhood obesity. (author)

  4. Predictive value of combined measurements of body mass index and waist circumference for the risk of cardiovascular disease%体质指数与腰围指标联合应用对心血管病危险的预测作用

    Institute of Scientific and Technical Information of China (English)

    王薇; 赵冬; 孙佳艺; 刘静; 刘军; 秦兰萍; 吴兆苏

    2008-01-01

    Objective To evaluate the predictive value of the combined measurements of body mass index (BMI) and waist circumference (WC) for the risk of cardiometabolic diseases (including diabetes, hypertension, and dyslipidemia ) and ischemic cardiovascular disease.Method A total of 30 378 Chinese people from 11 provinces were studied in this prospective study conducted from 1992 to 2003.Multivariable logistic and Cox regression were used respectively to determine the predictive value of WC for cardiometabolic diseases and ischemic cardiovascular disease within each BMI categories.Results (1) The prevalence of obesity were 10% defined by BMI.Among them, 76.4% had abdominal obesity defined by WC.The prevalence of abdominal obesity was 17.5% by WC categories, and 43.4% of them were classified as obesity by BMI.(2) The prevalence rates of cardiometabolic diseases were higher in individuals with elevated WC within each BMI category.(3) Compared with subjects with normal BMI and WC, the risk of ischemic cardiovascular disease increased by 38% ( RR = 1.383, 95% CI 1.083-1.765 ) in overweight subjects with elevated WC and by 57% ( RR = 1.570, 95% CI 1.226-2.010) in obese subjects with elevated WC.conclusion Combined measurements of BMI and WC provide a better prediction for the risk of cardiometabolic diseases and ischemic cardiovascular disease.%目的 分析和评价在体质指数(BMI)分层基础上,增加腰围指标对心血管病危险因素的检出作用以及对心血管病发病危险的预测作用.方法 以1992年建立的中国多省市前瞻性队列35~64岁共30 378人数据为依据,在基线BMI分为正常、超重和肥胖的基础上,分析和评价加入腰围指标对心血管病代谢因素的检出作用以及心血管病发病危险的预测作用.诊断标准分别参照中的BMI切点和中的腹部肥胖切点.结果 (1)联合应用BMI和腰围指标诊断肥胖时,呈现交叉重叠情况.以BMI为标准,队列人群肥胖率是10%,其中76.4%

  5. Cutting off Mediation. Agamben as Master Thinker

    Directory of Open Access Journals (Sweden)

    Astrid Deuber-Mankowsky

    2015-02-01

    Full Text Available Agamben’s Homo Sacer turns centrally upon “bare life”. However, the following subjects are not thematized: natality, gender, sexuality, the relation of the sexes, the heterosexual character of the symbolic order and political culture, the interest of women in the reproduction of life. The entire question of sexual difference —like that of the difference between victim and perpetrator, between witnesses and those born afterwards— is banned from Agamben’s horizon. Thus a deep unease remains, which this paper is intended to explore. It will first present the methodological and theoretical inspirations, which Homo Sacer owes to the thought of Carl Schmitt. Secondly it will show that Schmitt’s concepts of nomos and the state of exception cannot provide a suitable basis for rewriting Foucault’s concept of biopolitics.

  6. Clinical significance in squamous cell lung cancer patients with serum CYFRA21-1 and SCC by ROC curve and cut-off theory%肺鳞癌患者血清CYFRA21-1和SCC检测及ROC曲线和截断点的理论分析

    Institute of Scientific and Technical Information of China (English)

    刘磊; 刘彬; 朱莉莉; 张薇

    2012-01-01

    目的:探讨血清细胞角蛋白19片段(CYFRA21-1)抗原和鳞癌抗原(SCC)对肺鳞癌的临床意义.方法:将研究对象分组,试验组为102例肺鳞癌患者,对照组为53例良性肺病患者.分别采用电化学发光法和酶联免疫法检测血清CYFRA21-1及SCC,测定值用t检验,率比较用x2检验.接受者工作特征(ROC)曲线及截断点选择理论评估CYFRA21-1及SCC的临床价值.结果:肺鳞癌组与良性肺病组CYFRA21-1和SCC水平差异有统计学意义;CYFRA21-1以3.3 ng/mL、SCC以1.5 ng/mL为诊断临界点,CYFRA21-1诊断肺鳞癌敏感性为57.84%,特异性为92.45%,准确性为69.68%,ROC曲线下面积为0.788;SCC诊断肺鳞癌敏感性为33.33%,特异性为92.45%,准确性为53.55%,ROC曲线下面积为0.691;CYFRA21-1诊断肺鳞癌最佳截断点为2.485或2.365 ng/mL,对应敏感性和特异性分别为65.7%、92.5%和67.6%、90.6%;SCC诊断肺鳞癌最佳截断点为0.55 ng/mL,对应敏感性和特异性分别为72.5%和62.3%.随肺鳞癌分期增高,CYFRA21-1和SCC浓度增高差异有统计学意义,CYFRA21-1敏感性增高差异有统计学意义,SCC敏感性无明显变化.结论:CYFRA21-1对肺鳞癌的诊断具有较高的临床价值,而SCC对肺鳞癌的诊断价值较低.%OBJECTIVE: To make further efforts and investigate the clinical significance of cytokeratin fragment 19 (CYFRA21-l)and squamous cell carcinoma antigen(SCC) of serum tumor markers (TM) in the diagnosis of squamous cell lung cancer patients. METHODS: The subjects were divided into two groups: the squamous cell lung cancer group (102 patients) and the benign lung disease group(53 patients). The electric chemisty irradiance was used to examine blood serum CYFRA21-1 and SCC was examined by ELISA. The results were examined by z-test, and the rate comparison were examined by Chi-square test. Receiver operator characteristic curve and cut-off choice theory were used to value the results. RESULTS: Significant

  7. Congenital Hypothyroidism: An Audit and Study of Different Cord Blood Screening TSH Values in a Tertiary Medical Centre in Malaysia

    Directory of Open Access Journals (Sweden)

    Sze Lyn Jeanne Wong

    2015-01-01

    Full Text Available Mothers are often discharged within 24 hours in most Asian countries. Therefore, our screening programs for congenital hypothyroidism (CH must consider the value of cord blood TSH. Our objectives were to compare the incidence of CH, positive predictive values, and recall rates using different cord blood TSH values. We also reviewed the results of the second-screening program for premature babies. 99.7% (n=25,757 of all newborns were screened from 1st January 2009 to 31st December 2013. Babies with cord blood TSH > 25 mIU/L or 20–25 mIU/L and FT430 mIU/L and six had values 25.1–30 mIU/L. Lowering the recall cut-off value to 20 mIU/L would double the recall rate from 0.63% (n=163 to 1.3% (n=340 with no additional cases detected, whereas using 30 mIU/L would have missed 35% of cases. The incidence of CH was similar, 1:1515, when using either cut-off 20 mIU/L or cut-off 25 mIU/L but lower, 1:2380, when using 30 mIU/L. We recommend the screening cord blood TSH cut-off should be 25 mIU/L and screening for premature babies should be continued.

  8. Anthropometry of height, weight, arm, wrist, abdominal circumference and body mass index, for Bolivian adolescents 12 to 18 years: Bolivian adolescent percentile values from the MESA study Referencias antropométricas de los adolescentes bolivianos de 12 a 18 años: estatura, peso, circunferencia del brazo, muñeca y abdominal, índice de masa corporal: Percentiles de adolescentes bolivianos (PAB del estudio MESA

    Directory of Open Access Journals (Sweden)

    A. Baya Botti

    2009-06-01

    Full Text Available Anthropometry is important as clinical tool for individual follow-up as well as for planning and health policymaking at population level. Recent references of Bolivian Adolescents are not available. The aim of this cross sectional study was to provide age and sex specific centile values and charts of Body Mass Index, height, weight, arm, wrist and abdominal circumference from Bolivian Adolescents. Data from the MEtabolic Syndrome in Adolescents (MESA study was used. Thirty-two Bolivian clusters from urban and rural areas were selected randomly considering population proportions, 3445 school going adolescents, 12 to 18 y, 45% males; 55% females underwent anthropometric evaluation by trained personnel using standardized protocols for all interviews and examinations. Weight, height, wrist, arm and abdominal circumference data were collected. Body Mass Index was calculated. Smoothed age- and gender specific 3rd, 5th, 10th, 25th, 50th, 75th, 85th, 90th, 95th and 97th Bolivian adolescent percentiles(BAP and Charts(BAC where derived using LMS regression. Percentile-based reference data for the antropometrics of for Bolivian Adolescents are presented for the first time.La antropometría es una herramienta clínica importante para el seguimiento individual de los pacientes así como para la planificación de políticas públicas. En Bolivia no existen referencias antropométricas nacionales para adolescentes. El objetivo de este estudio transversal fue de desarrollar percentiles y diagramas de crecimiento para peso, talla, índice de masa corporal, presión arterial sistólica y diastólica, circunferencia de muñeca, brazo y abdominal de adolescentes bolivianos. Los datos antropométricos en el estudio MESA (Síndrome metabólico en adolescentes bolivianos fueron obtenidos a partir de 32 unidades muestrales, considerando proporcionalidad muestral con reposición. Fueron evaluados 3445 adolescentes de 12 a 18, 45% hombres; 55% mujeres, de colegios de

  9. Measurement error of waist circumference: Gaps in knowledge

    NARCIS (Netherlands)

    Verweij, L.M.; Terwee, C.B.; Proper, K.I.; Hulshof, C.T.; Mechelen, W.V. van

    2013-01-01

    Objective It is not clear whether measuring waist circumference in clinical practice is problematic because the measurement error is unclear, as well as what constitutes a clinically relevant change. The present study aimed to summarize what is known from state-of-the-art research. Design To identif

  10. Measurement error of waist circumference: gaps in knowledge.

    NARCIS (Netherlands)

    Verweij, L.M.; Terwee, C.B.; Proper, K.I.; Hulshof, C.T.J.; Mechelen, W. van

    2013-01-01

    Objective: It is not clear whether measuring waist circumference in clinical practice is problematic because the measurement error is unclear, as well as what constitutes a clinically relevant change. The present study aimed to summarize what is known from state-of-the-art research. Design: To ident

  11. Association Between Increased Waist Circumference and Depression and Anxiety Trend

    Directory of Open Access Journals (Sweden)

    Elena Bocicor Andreea

    2015-06-01

    Full Text Available Introduction: Abdominal adiposity assessed by increased waist circumference and depression have both a high incidence and prevalence and are associated with increased general mortality and cardiovascular risk. Several studies showed a significant association between abdominal obesity, metabolic syndrome and depression. Early detection of these associations is important for for prevention and treatment of this disease.

  12. Head Circumference in Autism, Asperger Syndrome and ADHD

    OpenAIRE

    J Gordon Millichap

    2002-01-01

    Occipitofrontal circumference (OFC), measured at birth and after 16 months of age, was compared in 50 consecutive patients with Asperger syndrome, 50 diagnosed with autistic disorder, and 50 with ADHD and followed at the Department of Child and Adolescent Psychiatry, Goteborg University, Sweden.

  13. Head Circumference in Autism, Asperger Syndrome and ADHD

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2002-06-01

    Full Text Available Occipitofrontal circumference (OFC, measured at birth and after 16 months of age, was compared in 50 consecutive patients with Asperger syndrome, 50 diagnosed with autistic disorder, and 50 with ADHD and followed at the Department of Child and Adolescent Psychiatry, Goteborg University, Sweden.

  14. 热阻可调式断桥复合保温砌块的研制%Development of a bridge-cut-off composite insulation block with the adjustable thermal resistance feature

    Institute of Scientific and Technical Information of China (English)

    胡永权; 任增茂; 罗天祥; 陈延军

    2015-01-01

    This paper introduces a bridge-cut-off composite insulation block with the adjustable thermal resistance feature,which structure is constituted by a new force block and insulating material.Regulating the proportion size of the insulation material and air interlayer on the basis of constant force main structure,the block can meet the demand of the wall thermal performance in different climatic regions with an economical way, and the performance price ratio of the block enhances at the same time.The block can use many kinds of waste in its production,e.g.,fly ash,construction waste.It has many advantages,such as environmental protection,energy conservation,fire preventing and so on,which can be generalized in nationwide.%介绍了一种热阻可调式断桥复合保温砌块,该砌块采用新型受力块体与绝热材料复合构造,在受力主体结构不变的基础上,可以通过调节绝热材料和空气间层配合尺寸,以最经济的方式满足不同气候环境区域对墙体热工性能的要求,增强了复合保温砌块节能性价比。该砌块在生产过程中可以利用粉煤灰、建筑垃圾等多种废弃物,具有经济、环保、节能和防火性能好等特点,适合在全国范围内推广应用。

  15. Methodology for adjusting scrotal circumference to 365 or 452 days of age and correlations of scrotal circumference with growth traits in beef bulls.

    Science.gov (United States)

    Bell, D J; Spitzer, J C; Bridges, W C; Olson, L W

    1996-09-01

    A retrospective analysis was conducted on data collected from 1983 through 1991, where weight and hip height were measured at start of test and every 28 d on 604 bulls completing a 224-d forage-based gain test. Scrotal circumference (SC) was measured at start of test, and at either end of test or end of the weigh period after individual bulls reached 365 d of age. Over 3 yr of this study, SC was additionally measured every 28 d. Bulls were representatives of 5 breed groups: Angus, Santa Gertrudis, Simmental, Continental (predominantly Charolais), and Zebu (predominantly Simbrah). Adjusted 365-d SC and adjusted 452-d SC were calculated by regression analysis and from formulas based on SC growth of individuals to 140 and 224 d on test, respectively. Breed group differences were observed for age of dam, birth weight, hip height, weight per day of age, average daily gain and SC at start of test, 140 d, and end of test (224 d). Scrotal circumference was positively correlated with all growth traits. Scrotal circumference was related to breed group, age, weight, hip height, average daily gain, weight per day of age, age by year, and age-by-breed group (P<0.05), as determined by regression analysis. However, omitting weight, hip height, average daily gain, and weight per day of age from the regression model did not significantly affect R2 value. Scrotal circumference growth was linear to 140 d on test; however, SC growth to 224 d on test was curvilinear. The 365-d SC predicted from the formula and from regression analysis differed for Simmental and Zebu by 0.3 and 0.4 cm, respectively (P<0.05). The 452-d SC differed for Santa Gertrudis and Zebu by 0.5 and 0.6 cm, respectively (P<0.05). Formulas based on SC growth of individuals are reasonably accurate predictors of SC at 365 and 452 d of age, when compared with more complex regression analysis. Basing SC adjustments on individual growth appears to account for variables known to affect yearling SC.

  16. Methodology for adjusting scrotal circumference to 365 or 452 days of age and correlations of scrotal circumference with growth traits in beef bulls.

    Science.gov (United States)

    Bell, D J; Spitzer, J C; Bridges, W C; Olson, L W

    1996-09-01

    A retrospective analysis was conducted on data collected from 1983 through 1991, where weight and hip height were measured at start of test and every 28 d on 604 bulls completing a 224-d forage-based gain test. Scrotal circumference (SC) was measured at start of test, and at either end of test or end of the weigh period after individual bulls reached 365 d of age. Over 3 yr of this study, SC was additionally measured every 28 d. Bulls were representatives of 5 breed groups: Angus, Santa Gertrudis, Simmental, Continental (predominantly Charolais), and Zebu (predominantly Simbrah). Adjusted 365-d SC and adjusted 452-d SC were calculated by regression analysis and from formulas based on SC growth of individuals to 140 and 224 d on test, respectively. Breed group differences were observed for age of dam, birth weight, hip height, weight per day of age, average daily gain and SC at start of test, 140 d, and end of test (224 d). Scrotal circumference was positively correlated with all growth traits. Scrotal circumference was related to breed group, age, weight, hip height, average daily gain, weight per day of age, age by year, and age-by-breed group (P<0.05), as determined by regression analysis. However, omitting weight, hip height, average daily gain, and weight per day of age from the regression model did not significantly affect R2 value. Scrotal circumference growth was linear to 140 d on test; however, SC growth to 224 d on test was curvilinear. The 365-d SC predicted from the formula and from regression analysis differed for Simmental and Zebu by 0.3 and 0.4 cm, respectively (P<0.05). The 452-d SC differed for Santa Gertrudis and Zebu by 0.5 and 0.6 cm, respectively (P<0.05). Formulas based on SC growth of individuals are reasonably accurate predictors of SC at 365 and 452 d of age, when compared with more complex regression analysis. Basing SC adjustments on individual growth appears to account for variables known to affect yearling SC. PMID:16727931

  17. The IgG avidity value for the prediction of Toxoplasma gondii infection in the amniotic fluid.

    Science.gov (United States)

    Tanimura, Kenji; Nishikawa, Akira; Tairaku, Shinya; Shinozaki, Nanae; Deguchi, Masashi; Morizane, Mayumi; Ebina, Yasuhiko; Morioka, Ichiro; Yamada, Hideto

    2015-09-01

    Primary Toxoplasma gondii (T. gondii) infection during pregnancy may lead to congenital toxoplasmosis. Maternal screening using T. gondii IgG avidity measurement and multiplex nested PCR was performed. The aim of this prospective cohort study was to determine a cut-off value of IgG avidity index (AI) for the prediction of the presence of T. gondii DNA in the amniotic fluid. One hundred thirty-nine women with positive or equivocal tests for IgM underwent both serum IgG avidity measurement and PCR analysis for the amniotic fluid. Nine had positive PCR results, and three of them were diagnosed as having congenital infection. A cut-off value of IgG AI was determined using receiver operating characteristic analysis. IgG AI (mean 13%) in women with positive PCR results was significantly lower than that (39%) in women with negative results. A cut-off value of amniotic fluid. None of women with IgG AI of ≥30% had a positive PCR result or congenital infection. This study firstly demonstrated that a cut-off value of 25-30% IgG AI might be useful for the prediction of the presence of T. gondii DNA in the amniotic fluid and congenital infection.

  18. The Predictive Value and Cut-off Points of Anti-Müllerian Hormone on Ovarian Responses%抗苗勒管激素预测卵巢反应性的价值研究

    Institute of Scientific and Technical Information of China (English)

    谭嘉琦; 陈晓莉; 李予; 张清学; 王文军; 杨冬梓

    2015-01-01

    目的:评价抗苗勒管激素(AMH)对卵巢反应性的预测价值.方法:以1489例行体外受精-胚胎移植(IVF-ET)治疗的不孕患者作为研究对象,分别以获卵数≤3个和>20个界定卵巢低和高反应,比较AMH和其他卵巢储备评估指标预测卵巢反应性时的受试者工作特征曲线面积(ROCAUC).结果:预测卵巢低反应或高反应时,AMH和窦卵泡计数(AFC)的ROCAUC均相当(分别为0.867和0.860,P=0.319;0.772和0.753,P=0.287),且明显大于年龄、基础卵泡刺激素(FSH)和基础雌二醇(E2)的ROCAUC(分别为0.685、0.723和0.600,P均<0.001;0.679、0.650和0.501,P均<0.001).AMH≤8.5 pmol/L或AFC≤9时可较好地预测卵巢低反应,而AMH> 29.77 pmol/L或AFC> 16时则可较好地预测卵巢高反应.结论:AMH独立预测卵巢反应性的价值与AFC相当,二者均明显优于年龄、基础FSH和基础E2.

  19. Dietary predictors of 5-year changes in waist circumference

    DEFF Research Database (Denmark)

    Halkjaer, Jytte; Tjønneland, Anne; Overvad, Kim;

    2009-01-01

    items food frequency questionnaire), body mass index, and selected potential confounders (eg, smoking status, sport activities, and intake of alcoholic beverages). Multiple linear regression analyses were performed. RESULTS: For women, 5-year difference in waist circumference was inversely related......BACKGROUND: Previous studies on the association between macronutrient intake and the development of abdominal obesity, which carries an increased health risk, have not shown a consistent pattern, possibly due to mixed effects of other aspects of the food intake. OBJECTIVE: This study investigated...

  20. Circumference and COD control algorithm of NewSUBARU

    International Nuclear Information System (INIS)

    We renewed a closed orbit correction program for NewSUBARU. We use a new horizontal orbit correction algorithm with a circumference control. A response matrix in the program is calculated using the correct equation of the response in an electron storage ring. It made the correction process faster and more stable. It also eliminated an interference with the control program of RF frequency. (author)

  1. Comparison of Body Mass Index (BMI, Body Adiposity Index (BAI, Waist Circumference (WC, Waist-To-Hip Ratio (WHR and Waist-To-Height Ratio (WHtR as predictors of cardiovascular disease risk factors in an adult population in Singapore.

    Directory of Open Access Journals (Sweden)

    Benjamin Chih Chiang Lam

    Full Text Available Excess adiposity is associated with cardiovascular disease (CVD risk factors such as hypertension, diabetes mellitus and dyslipidemia. Amongst the various measures of adiposity, the best one to help predict these risk factors remains contentious. A novel index of adiposity, the Body Adiposity Index (BAI was proposed in 2011, and has not been extensively studied in all populations. Therefore, the purpose of this study is to compare the relationship between Body Mass Index (BMI, Waist Circumference (WC, Waist-to-Hip Ratio (WHR, Waist-to-Height Ratio (WHtR, Body Adiposity Index (BAI and CVD risk factors in the local adult population.This is a cross sectional study involving 1,891 subjects (Chinese 59.1% Malay 22.2%, Indian 18.7%, aged 21-74 years, based on an employee health screening (2012 undertaken at a hospital in Singapore. Anthropometric indices and CVD risk factor variables were measured, and Spearman correlation, Receiver Operating Characteristic (ROC curves and multiple logistic regressions were used. BAI consistently had the lower correlation, area under ROC and odd ratio values when compared with BMI, WC and WHtR, although differences were often small with overlapping 95% confidence intervals. After adjusting for BMI, BAI did not further increase the odds of CVD risk factors, unlike WC and WHtR (for all except hypertension and low high density lipoprotein cholesterol. When subjects with the various CVD risk factors were grouped according to established cut-offs, a BMI of ≥23.0 kg/m2 and/or WHtR ≥0.5 identified the highest proportion for all the CVD risk factors in both genders, even higher than a combination of BMI and WC.BAI may function as a measure of overall adiposity but it is unlikely to be better than BMI. A combination of BMI and WHtR could have the best clinical utility in identifying patients with CVD risk factors in an adult population in Singapore.

  2. Integration Technology of Combining Binary-layer Foundation Excavation Dewatering with Suspended Cut-off Wall and Recharge%二元地基基坑降水结合悬挂式防渗墙及回灌一体化技术

    Institute of Scientific and Technical Information of China (English)

    王恒; 李守德; 王由国; 柯倩雯; 张灿虹

    2015-01-01

    In this paper,a generalized model of the typical cross-section is used to study the consequence of excavation dewatering with suspended cut-off wall and recharge well which have some effects on water head and ground subsidence which is outside of excavation. The comparisons of the condition of excavation direct precipitation , the condition of cut-off wall excavation precipitation and the condition of cut-off wall and recharge well excavation dewatering are analyzed. The result shows that suspended cut-off wall and recharge well can significantly enhance the water head and effectively reduce the settlement in the outside of the excavation,reduce the unit sedimentation of soft soil,have little effect on the unit sedimentation of silt and sand layers. Meanwhile,the comparisons of the tilt ratio of three conditions indicate the distance away from cut-off wall and recharge well closer ,the smaller the differential settlement.%通过构造基坑降水三维概化模型,利用有限元软件FLAC3D分析悬挂式防渗墙和回灌对基坑坑外的水头和地面沉降影响,主要将基坑直接降水工况、设置防渗墙的基坑降水工况和设置防渗墙及回灌井的基坑降水工况进行对比分析。分析结果表明防渗墙和回灌井,可明显提升坑外水头,有效降低了坑外沉降,减小软土层的单位沉降值,对粉砂层和细砂层的单位沉降值影响很小。同时,对比三种工况下的倾斜比,说明了距离防渗墙与回灌井越近,不均匀沉降越小。

  3. Negative predictive value of procalcitonin in medullary thyroid carcinoma.

    Science.gov (United States)

    Lim, Soo Kyung; Guéchot, Jérôme; Vaubourdolle, Michel

    2016-01-01

    Calcitonin (CT), the major biochemical marker in medullary thyroid carcinoma (MTC) is prone to in vitro instability and suffers from scarcity of clinical laboratory platforms. Procalcitonin (PCT), the precursor of CT, free of these shortcomings, has been reported as a potential MTC marker. The aim of this study was to assess the negative predictive value (NPV) of PCT as a first-line marker in MTC. 476 serum samples referred to our laboratory for CT measurements were analyzed for PCT. NPVs of PCT were assessed at 3 cut-offs (0.05, 0.10 and 0.15 ng/mL) and the diagnosis of MTC was based on CT levels. PCT and CT levels were correlated (r=0.7554 for CT levels above 10 pg/mL, n=66). Accepting the CT cut-off based on the upper reference limit the NPV of PCT were 98.1% (0.05 ng/mL), 96.3% (0.10 ng/mL) and 95.4% (0.15 ng/mL) respectively. For a CT cut-off of 100 pg/mL the NPVs of PCT were 100% for all PCT thresholds. Serum PCT has a strong NPV and could be a good candidate for a first-line screening test to exclude MTC in patients with suspicious thyroid nodules or suggestive symptoms. Larger prospective studies are necessary to confirm our results. PMID:26806393

  4. [Massive increase of foetal abdominal circumference due to hereditary polycystic kidney disease].

    Science.gov (United States)

    Dukic, L; Schaffelder, R; Schaible, T; Sütterlin, M; Siemer, J

    2010-06-01

    Autosomal recessive polycystic kidney disease (ARPKD) is a rare condition with a poor prognosis. We report on a 30-year-old primagravid woman in the 34th) week of gestation who was admitted to our hospital. ARPKD of the foetus had been sonographically suspected since the 26th week of gestation. Ultrasound examination showed big polycystic kidneys on both sides. The non-consanguineous parents wanted a maximum therapy for the infant. Foetal digitalisation because of heart insufficiency and prophylactic lung maturation was started. In the further course, Doppler sonographic values worsened and a Caesarean section was performed in the 34th week of gestation at the demand of the parents and due to the expected problems in case of a vaginal delivery. The weight of the newborn was 3,780 g and the abdominal circumference was 50 cm. The newborn was intubated immediately after birth and artificial ventilation was performed. Extracorporeal membrane oxygenation was not possible due to the bad cardial condition. The boy died 16 h after delivery. The parents refused genetic examination and autopsy of the newborn. ARPKD is a severe disease that may have obstetric relevance, due to the massively increased abdominal circumference. Therefore, termination of pregnancy or preterm induction of labor should be considered in order to avoid Caesarean section. Additionally, early prenatal diagnosis with genetic analysis of PRKD1 in cases of suspected ARPKD can be helpful. PMID:20574939

  5. Standardized reference of waist circumference among children and adolescents in Beijing using the LMS Method%北京市儿童青少年腰围正常值LMS法研究

    Institute of Scientific and Technical Information of China (English)

    吕若然; 孟灵慧; 孙颖

    2013-01-01

    Objective To establish the standardized reference of waist circumference (WC) among children and adolescents in Beijing.Method Stratified by rural and urban areas,level of economic status,a total of 9 421 students aged in 6-22years from 40 primary and middle schools and 2 colleges in 6 districts of Beijing were investigated.The reference intervals were calculated using the LMS method.Results WC was increasing by age in boys aged 7-22 years old; the same trend was in girls before 12 years old.At 18 years old,average WC was 76.62 cm in boys and 72.55 cm in girls.The WC was highest in obese students,followed by overweight and normal-weight students.WC cut-off values for screening overweight and obesity was 79.72 cm and 89.35 cm in boys aged 18 and 74.38 cm and 84.40 cm in girls,respectively.Conclusion Standardized reference of WC for screening overweight and obesity by using the LMS method is reliable.It can be used in Beijing.%目的 通过分析2010年北京市学生体质健康调研结果,建立北京市儿童腰围筛查分类标准.方法 按城乡、经济水平分层,调查北京市6个区40所中小学校和2所大学的7 ~ 22岁大中小学生8 795名.按照《2010年全国学生体质健康调研工作手册》规定的方法进行身体测量,以LMS法计算性别年龄别腰围各百分位数值,并绘制LMS曲线,建立北京市儿童青少年腰围正常值.结果 北京市7 ~22岁男生腰围随年龄的增加而增大,女生在12岁以前呈现同样趋势,但之后趋于稳定.18岁男、女生腰围分别为76.62 cm和72.55 cm.不同BMI组别间腰围均值不同,肥胖组>超重组>正常组.北京市18岁男生超重/肥胖的腰围筛查标准是79.72 cm和89.31 cm,女生分别是74.38 cm和84.40 cm.结论 LMS法建立的北京市儿童青少年腰围筛查标准准确,可以在北京地区推广使用.

  6. The Brazilian hazard-based cut-off criteria for pesticide registration: a critical appraisal / Critérios de exclusão baseados em perigo adotados no Brasil para registro de pesticidas: Uma avalição crítica

    Directory of Open Access Journals (Sweden)

    Francisco José Roma Paumgartten

    2013-02-01

    Full Text Available Brazil, the world’s top consumer of agricultural pesticides, adopts a unique hazard-based cut-off approach to pesticide registration. Cut-off criteria for mutagenicity, carcinogenicity, teratogenicity, hormonal disturbances and damage to reproductive organs were introduced by the Pesticide Law enacted in 1989. As far as health is concerned, law enforcement is additionally regulated by rules issued by the federal health authority (National Agency for Health Surveillance – ANVISA. Contrasting to the European Union’s hazard-based cut-off criteria for pesticides, Brazilian rules do not make an exception for “negligible” exposures. Moreover, Brazilian regulations have shortcomings (e.g. no reference to relevance of Mode of Action to humans that make cut-off criteria difficult to be put into effect. The deficiencies of regulations and difficulties to consistently apply the hazard-based cut-off criteria are appraised in this article. Adoption of a risk assessment approach or cut-off criteria based on classification into the Globally Harmonized System’s hazard categories 1A and 1B is suggested. Resumo O Brasil, líder mundial do consumo de agro-químicos, adota uma singular abordagem para registro de agrotóxicos que é baseada em critérios de exclusão quanto à periculosidade. Critérios de exclusão para mutagenicidade, carcinogenicidade, teratogenicidade, distúrbios hormonais e dano a órgãos reprodutivos foram introduzidos pela Lei de Agrotóxicos promulgada em 1989. Em relação à saúde, a aplicação da lei é também regulada por portarias publicadas pela autoridade sanitária federal (Agência Nacional de Vigilância Sanitária – ANVISA. Em contraste com os critérios de exclusão baseados na periculosidade que a União Européia usa para agrotóxicos, a regulamentação brasileira não faz exceção para exposições insignificantes. Além disso, a regulamentação brasileira apresenta deficiências (e.g., não faz men

  7. Distribution of waist circumference and waist-to-height ratio and their values in obesity screening among 3-9 years old Han and Uygur ethnic children in Xinjiang Uygur Autonomous Region of China%新疆维吾尔自治区3~9岁汉、维吾尔族儿童腰围和腰围身高比分布特征及其作为肥胖筛查指标的探讨

    Institute of Scientific and Technical Information of China (English)

    窦亚兰; 阿达力别克; 孙翠英; 姜袁; 代丽黎; 吴洁; 张昭; 张慧; 戴江红

    2016-01-01

    Objective To understand the distributions of waist circumference and waist-toheight ratio (WHtR) in Han and Uygur ethnic children aged 3-9 years in Xinjiang Uygur Autonomous Region (Xinjiang) and discuss their values in obesity screening in children.Methods Stratified cluster random sampling was conducted to select Han and Uygur ethnic children from kindergartens and primary schools in four areas of Xinjiang in April 2014.The children' s standing height,body weight and waist circumference were measured by trained investigators according to standard protocol.WC ≥P80 and WHtR≥ 0.48 were used as the cutoff value for abdominal obesity screening in children with normal BMI.The association between overweight/obese prevalence rate and obesity related indicators,such as BMI,WC,WHtR,were analyzed.Results A total of 4 024 Han and Uygur ethnic children were investigated,in which 2 461 were in Han ethnic group,1 563 were in Uygur ethnic group.The WC and WHtR at Ps0 and P80 were similar in two groups,but WC and WHtR at P50 were differed significantly.In both Han and Uygur ethnic groups,there were some children with WC≥P80 or WHtR≥0.48,although they had normal BMI.This proportion decreased with age.Conclusions The WC and WHtR are similar in Han and Uygur ethnic children aged 3-9 years.WC and WHtR have values in obesity screening for children with normal BMI which suggested to use it as the supplementation of BMI in obesity screening in preschool aged children.%目的 了解新疆维吾尔自治区(新疆)汉、维吾尔(维)族3~9岁儿童腰围(WC)和腰围身高比(WHtR)分布特征,探讨其作为儿童肥胖筛查指标的价值.方法 采用分层整群随机抽样方法,于2014年4月抽取新疆四地区幼儿园和小学一、二年级汉、维族儿童,测量身高、体重及WC;以WC的性别年龄别第80百分位值(P80)以及WHtR≥0.48为参考值,在BMI正常儿童中筛查可能患有腹型肥胖的儿童.结果 共测量3~9岁儿童4 024

  8. Combined influence of leisure time physical activity and hip circumference on all-cause mortality

    DEFF Research Database (Denmark)

    Østergaard, Jane Nautrup; Grønbaek, M; Ängquist, Lars Henrik;

    2012-01-01

    Hip circumference has been shown to be inversely associated with mortality. Muscle atrophy in the gluteofemoral region may be a possible explanation and thus physical activity is likely to play an important role. We aimed to estimate the combined effects of hip circumference and physical activity...... followed to 2009 in the Danish Civil Registration System, with 1.3% loss to follow-up and 2513 deaths. Hazard ratios (HR) were estimated for combinations of physical activity and hip circumference. Hip circumference was inversely associated with mortality irrespective of being physically active or not....... However, being physically active seemed to counterbalance some of the adverse health effects of a small hip circumference; when comparing inactive to active, the excess mortality at the 25(th) percentile of hip circumference is 40% in men (HR= 1.40, 95% CI: 1.14-1.72) and 33% in women (HR= 1.33, CI: 1...

  9. A STUDY OF RELATIONSHIP BETWEEN WEIGHT, HEIGHT, HEAD & CHEST CIRCUMFERENCE IN CHILDREN BETWEEN 3 TO 5 YEARS IN THE MALWA REGION OF MADHYA PRADESH

    Directory of Open Access Journals (Sweden)

    Wankhede

    2015-04-01

    Full Text Available INTRODUCTION : The growth & development are the important attributes of childhood. The studies on physical development & growth of infants & children are important as they are determinants of a nation’s health. The appr eciation of progress of any country in the field of health can be made from time to time with the help of such studies. The principal aim of the nutritional assessment of a community is to map out the magnitude & geographic distribution of malnutrition & a public health problem to find out the ecological factor & where possible to suggest appropriate corrective measures. AIMS & OBJECTIVES : To determine the anthropometric measurements of the pre - school age children in both sexes, to study the growth spurt & velocity of growth in the children between 3 & 5 years, to construct selected percentiles of the various measurements for boys & girls in Malwa region & to compare the figures obtained by anthropometric studies with those determined by other workers in th e different regions. MATERIALS & METHOD: A cross sectional study of weight, height, circumference of head, chest & arm of school going children ranging from 3 to 5 years in age was carried out in the city of Indore. Total 1, 000 children, belonging to both low & high socio - economic status, were examined. OBSERVATIONS: The mean values of head & chest circumferences shows a gradual increase with in both sexes. The mean value of the mid - arm circumference also shows an increase with increasing age on both sexes . As regards the height, the mean value is a bit higher in females at 3 . 5 years & 4 . 5 years as compared to Males at 3, 3 . 5, 4 & 5 years of age. The mean values of weight are more in females than males at the age of 4, 4 . 5 & 5 years. SUMMARY & CONCLUSION : A nthropometric studies were carried out in all children uniformly by determining weight, height and circumferences of head, chest & mid - arm. The head & chest circumferences equalizes at the age of 3

  10. Neck circumference as a potential marker of metabolic syndrome among college students1

    OpenAIRE

    Dayse Christina Rodrigues Pereira; Márcio Flávio Moura de Araújo; Roberto Wagner Júnior Freire de Freitas; Carla Regina de Souza Teixeira; Maria Lúcia Zanetti; Marta Maria Coelho Damasceno

    2014-01-01

    OBJECTIVE: to relate neck circumference with metabolic syndrome and its criteria among college students. METHOD: cross-sectional study conducted with 702 college students in Fortaleza, CE, Brazil from September 2010 to June 2011. Socio-demographic data, waist circumference and neck circumference were collected together with blood pressure, fasting blood sugar, triglyceride levels, and HDL-C. RESULTS: 1.7% of the studied sample presented metabolic syndrome. Of these, 58.3% presented altered ne...

  11. Clinical utility of calf front hoof circumference and maternal intrapelvic area in predicting dystocia in 103 late gestation Holstein-Friesian heifers and cows.

    Science.gov (United States)

    Hiew, Mark W H; Megahed, Ameer A; Townsend, Jonathan R; Singleton, Wayne L; Constable, Peter D

    2016-02-01

    The objective of this study was to determine the clinical utility of measuring calf front hoof circumference, maternal intrapelvic area, and selected morphometric values in predicting dystocia in dairy cattle. An observational study using a convenience sample of 103 late-gestation Holstein-Friesian heifers and cows was performed. Intrapelvic height and width of the dam were measured using a pelvimeter, and the intrapelvic area was calculated. Calf front hoof circumference and birth weight were also measured. Data were analyzed using Spearman's correlation coefficient (rs), Mann-Whitney U test, and binary or ordered logistic regression; P 0.068 cm/cm(2)). Determining the ratio of calf front hoof circumference to maternal intrapelvic area has clinical utility in predicting the calving difficulty score in Holstein-Friesian cattle. PMID:26474687

  12. Thigh circumference and risk of heart disease and premature death: prospective cohort study

    DEFF Research Database (Denmark)

    Heitmann, Berit; Frederiksen, Peder

    2009-01-01

    of follow-up for total death. RESULTS: A small thigh circumference was associated with an increased risk of cardiovascular and coronary heart diseases and total mortality in both men and women. A threshold effect for thigh circumference was evident, with greatly increased risk of premature death below...... circumference seems to be associated with an increased risk of developing heart disease or premature death. The adverse effects of small thighs might be related to too little muscle mass in the region. The measure of thigh circumference might be a relevant anthropometric measure to help general practitioners...... in early identification of individuals at an increased risk of premature morbidity and mortality....

  13. Waist Circumferences of Chilean Students: Comparison of the CDC-2012 Standard and Proposed Percentile Curves

    Directory of Open Access Journals (Sweden)

    Rossana Gómez-Campos

    2015-07-01

    Full Text Available The measurement of waist circumference (WC is considered to be an important means to control overweight and obesity in children and adolescents. The objectives of the study were to (a compare the WC measurements of Chilean students with the international CDC-2012 standard and other international standards, and (b propose a specific measurement value for the WC of Chilean students based on age and sex. A total of 3892 students (6 to 18 years old were assessed. Weight, height, body mass index (BMI, and WC were measured. WC was compared with the CDC-2012 international standard. Percentiles were constructed based on the LMS method. Chilean males had a greater WC during infancy. Subsequently, in late adolescence, males showed values lower than those of the international standards. Chilean females demonstrated values similar to the standards until the age of 12. Subsequently, females showed lower values. The 85th and 95th percentiles were adopted as cutoff points for evaluating overweight and obesity based on age and sex. The WC of Chilean students differs from the CDC-2012 curves. The regional norms proposed are a means to identify children and adolescents with a high risk of suffering from overweight and obesity disorders.

  14. Comparison of Relative Waist Circumference between Asian Indian and US Adults

    Directory of Open Access Journals (Sweden)

    Harpreet S. Bajaj

    2014-01-01

    Full Text Available Background. Relative to Europeans, Asian Indians have higher rates of type 2 diabetes and cardiovascular disease. Whether differences in body composition may underlie these population differences remains unclear. Methods. We compared directly measured anthropometric data from the Chennai Urban Rural Epidemiology Study (CURES survey of southern Indians (I with those from three US ethnic groups (C: Caucasians, A: African Americans, and M: Mexican Americans from NHANES III (Third National Health and Nutrition Examination Survey. A total of 15,733 subjects from CURES and 5,975 from NHANES III met inclusion criteria (age 20–39, no known diabetes. Results. Asian Indian men and women had substantially lower body mass index, waist circumference, hip circumference, waist-to-hip ratio, and body surface area relative to US groups (P values <0.0001. In contrast, the mean (±se waist-weight ratio was significantly higher (P<0.001 in I (men 1.35 ± 0.002 and women 1.45 ± 0.002 than in all the US groups (1.09, 1.21, and 1.14 in A, M, and C men; 1.23, 1.33, and 1.26 in A, M, and C women (se ranged from 0.005 to 0.006. Conclusions. Compared to the US, the waist-weight ratio is significantly higher in men and women from Chennai, India. These results support the hypothesis that Southeast Asian Indians are particularly predisposed toward central adiposity.

  15. Body mass index a better predictor of insulin resistance than waist circumference in normoglycemics

    Directory of Open Access Journals (Sweden)

    B.L. Preethi

    2015-04-01

    Full Text Available Background: Body Mass Index (BMI is the most common method of measuring obesity. Many studies have reported that waist circumference is a stronger predictor of insulin resistance in non-type 2 diabetes. The objective of the study was to investigate whether waist circumference (WC or body mass index (BMI is a better predictor insulin resistance. Method: 79 normal young adult volunteers in the age range of 18 to 25 years were enrolled for the Study. All subjects underwent a detailed general physical examination including Blood Pressure, body weight, height, hip & waist circumference. BMI (Body Mass Index, waist and hip circumference & waist hip ratio calculated. 2hr OGTT with serum Insulin was performed and Insulin resistance calculated. Result: Simple clinical measures of obesity like height, weight, waist circumference, hip circumference and their indexes like BMI (body mass index, WHR (waist hip ratio were evaluated and correlated with the measures of Insulin resistance (IR and insulin sensitivity. BMI was found to significantly correlate with most of the IR parameters and there was a trend towards significance with weight. Waist circumference did not correlate significantly with IR parameters. Conclusion: Body Mass Index (BMI is a useful tool in evaluating obesity in normoglycemic subjects. BMI is a better predictor of Insulin Resistance and risk stratification than waist circumference.

  16. Prognostic Value of Gc-Globulin in Chinese Patients with Acute-On-Chronic Hepatitis B Liver Failure

    International Nuclear Information System (INIS)

    Objective: To determine dynamic Gc-globulin level change in Acute-on-Chronic Hepatitis B Liver Failure (ACHBLF) patients, and evaluate the prognostic value of Gc-globulin. Study Design: An analytical study. Place and Duration of Study: The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China, from January 2010 to December 2012. Methodology: A total of 54 consecutive Chinese ACHBLF patients and 30 healthy volunteers as controls were recruited from 2010 to 2012. The patients were divided into improved group and aggravated group. Gc-globulin levels were determined in both groups and mean values compared with significance at p < 0.05. Cut-off value was also determined. Results: The Gc-globulin level was significantly decreased in ACHBLF patients (p < 0.001). Gc-globulin levels were significantly higher in improved patients than in aggravated patients, and a 215 mg/L cut-off value carried the best prognostic information. On longitudinal observations, Gc-globulin gradually elevated in improved groups. However, in aggravated groups, the Gc-globulin levels were always below normal levels and no significant change was observed before or after the treatment (p > 0.05). Conclusion: Gc-globulin monitoring offers a rapid and accurate method to estimate treatment outcomes on admission and an effective temporal indicator of curative effects in ACHBLF patients at an optimal cut-off value of 215 mg/L. (author)

  17. The Circumference and its Age Variation of Rural Adultsin Mindong Languages Group%闽东语族群城市成人围度值及其年龄变化

    Institute of Scientific and Technical Information of China (English)

    薛虹; 郑连斌; 宇克莉; 胡莹; 王杨; 程智; 时蕊; 邓维

    2013-01-01

    为研究闽东语族群城市成人围度值及其年龄变化特点,采用随机抽样方法,测量福建310例(男151例,女159例)闽东语族群城市成人的头围、颈围、平静胸围、吸气胸围、呼气胸围、腹围、臀围、大腿围、小腿围、上臂围、前臂围、臂缩围等12项围度值,分析不同年龄组围度值的变化规律;采用聚类分析方法,对国内的27个族群进行了比较.方差分析结果显示,男性胸围、吸气围、呼气围、上臂围、前臂围、臂缩围等6项围度值和女性头围、胸围、吸气围、呼气围、上臂围、前臂围、臂缩围等7项围度值均存在年龄组间的显著性差异(p<0.05).直线相关分析显示,男性头围与年龄呈负相关,胸围、吸气围、呼气围、腹围、臀围、上臂围、前臂围、臂缩围等与年龄呈正相关;女性颈围、胸围、吸气围、呼气围、腹围、上臂围、臂缩围等与年龄呈正相关,头围和小腿围与年龄成负相关.除大腿围值不存在性别间的显著性差异,其余11项围度值在性别间均存在极显著性差异(p<0.01),并且男性值明显高于女性.研究结果表明闽东语族群城市成人围度值具有中国北亚类型族群的特征.%To study the circumference and its age variation of rural adults in Mindong languages group, this paper used random sampling method to measure the circumferences values of 310 adults (151 males, 159 females) of Mindong languages group, including the circumference of head, neck, chest, chest circumference at inspiration, abdomen, hip, thigh, calf, biceps, forearm, maximum biceps. Analysis the change rule of circumference values of different age groups, and draws a comparison of the circumference values in 27 nationalities in China. The results as followed: 1) the result of variance analysis showed, the male 6, female 7 circumference values, there are significant differences among age groups. 2) A linear correlation analysis showed

  18. CALF CIRCUMFERENCE AT BIRTH: A SCREENING METHOD FOR DETECTION OF LOW BIRTH WEIGHT

    Directory of Open Access Journals (Sweden)

    Sandip Kumar

    2013-01-01

    Full Text Available Background: Low Birth Weight (LBW babies run a higher risk of morbidity and mortality in the perinatal period. However, in our country where almost 70-80% births take place at home and peripheral hospitals, taking accurate weight is a problem due to unavailability of weighing scale and trained personnel. Hence there is a constant search for newer methods to detect LBW babies so that early interventions can be instituted. Various authors have used different surrogate anthropometric measurements from different parts of our country. In the present study, an attempt was made to validate the feasibility of using calf circumference as a predictor of LBW babies that can be used by a trained or untrained person. Objectives: To study various anthropometric measurements including calf circumference in newborns and to correlate various measurements with birth weight. Methods: The present study was conducted in the department of Social & Preventive Medicine, MLB Medical College, Jhansi (UP for a period of one year. The study included 1100 consecutively delivered neonates in the maternity ward of MLB Medical College Hospital, Jhansi (UP. The birth weight (Wt, crown heel length (CHL, crown rump length (CRL, head circumference (HC, chest circumference (CC, mid arm circumference (MAC, thigh circumference (TC and calf circumference (CC by standard techniques. All the measurements were taken by a single person throughout the study period with in 24 hours of delivery. Standard statistical methods were adopted for determination of critical limit, sensitivity, specificity and correlation coefficient of different anthropometric measurements in relation to birth weight. Results: Analysis of data indicates that out of 1100 newborns, 55.64% were low birth weight. The percentage of newborns > 2500gm was 44.36. Overall average birth weight was 2348 ± 505gm. Out of 1100 newborns, 608 (55.27% were males and 492 (44.73% were females. Average birth weight for males was 2412

  19. Association of lipid profile and waist circumference as cardiovascular risk factors for overweight and obesity among school children in Qatar

    Directory of Open Access Journals (Sweden)

    Rizk NM

    2012-12-01

    Full Text Available Nasser M Rizk, Mervat YousefHealth Sciences Department, College of Arts and Sciences, Qatar University, Doha, QatarBackground: Childhood obesity is a national as well as worldwide problem. The aim of this study was to evaluate the association of overweight and obesity among Qatari children with lipid profile and waist circumference as adverse cardiovascular risk factors in children aged 6–11 years. International Obesity Task Force reference values were used to screen for overweight and obesity.Methods: A cross-sectional study in a randomly selected sample was conducted in 315 Qatari primary school students aged 6–11 years. Anthropometric measurements, including body weight, height, waist circumference, and body mass index were calculated for 151 girls and 164 boys. Weight categories were based on International Obesity Task Force reference values. Fasting blood glucose, total cholesterol, high-density lipoprotein cholesterol (HDL-C, low-density lipoprotein cholesterol (LDL-C, and triglycerides were measured, and atherogenic index was calculated.Results: In total, 31.71% of boys and 32.78% of girls were overweight or obese. Overweight and obese children screened against International Obesity Task Force reference values had a significantly increased risk of high waist circumference (P < 0.0001, hypertriglyceridemia (P = 0.002, low HDL-C (P = 0.017, and atherogenic index (P = 0.021 compared with children who were not overweight or obese. The partial correlation coefficient for the cardiovascular risk marker of waist circumference indicated a positive significant association with total cholesterol (r = 0.465, P = 0.003, triglycerides (r = 0.563, P < 0.001, and LDL-C (r = 0.267, P = 0.003, and a significant negative association with HDL-C (r = −0.361, P = 0.004. Overweight and obesity significantly increase the odds ratios (ORs and 95% confidence interval (CIs of cardiovascular risk factors as follows: hypertriglyceridemia (OR 6.34, CI 2.49–13

  20. 新生儿先天性肾上腺皮质增生症筛查中17羟孕酮切值的建立%Study on establishment of 17-OHP cut-off point in screening of congenital adrenal hyperplasia

    Institute of Scientific and Technical Information of China (English)

    万志丹; 黄湘; 张翠梅; 林翠兰; 姚英姿; 梁睿; 李冬秀; 吴学威

    2012-01-01

    Objective To make a retrospective analysis on the hospital congenital adrenal hyperplasia (CAH) screening data from January 2010 to September 2010,a preliminary study of different gender,gestational age and birth weight of newborns 17-hydroxyprogesterone (17-OHP) distribution,and clinical diagnosis of cases,and set a reasonable screening cut value.Methods We used DELFIA method to detect neonatal peripheral blood 17-OHP concentrations,and used the percentile method to determine the cut value.Results Newborn screening of (17-OHP levels were detected skewed distribution.There were significant differences between different gender,weight and gestational age.According to robust regression statistics gestational age has the best correlation with 17-OHP.So just set cut values grouped premature neonates and normal gestational age newborn.Premature neonates ( < 37W) 17-OHP 99% percentile value 66.1 nmol/L.Normal gestational age (≥ 37W) newborn 17-OHP 99% percentile values was 26.6 nmol/L.Followed by tracking statistics from January 2010 to August 2011,17 cases of CAH diagnosed among the 88,061 cases of live births screened newborn,classic type 2 cases,the incidence rate of 1/44030; simple of man in 1 case,the incidence rate of 1/88061; atypical in 14 cases,the incidence rate of 1/6290.Conclusion Zhongshan areas of CAH incidence was significantly lower than the national level.Using a uniform 17-OHP cut value 30 nmol/L for newborn CAH has a certain influence to screening results,it is recommended screening cut-off point of premature neonates should be 60 nmol/L,in order to reduce the false positive rate and recall rate.%目的 回顾性分析2010年1月-2010年9月,我院新生儿先天性肾上腺皮质增生症(CAH)的筛查数据,初步探讨不同性别、出生孕周及体重的新生儿17-羟孕酮(17-OHP)分布情况,并结合临床确诊病例,设定合理的筛查切值.方法 采用时间分辨荧光免疫分析方法检测新生儿末稍血17-OHP浓度,采

  1. Rendimento da pupunheira em função da densidade de plantio, diâmetro de corte e manejo dos perfilhos no Vale do São Francisco Effect of density, cut-off diameter classes and shoot number on production and yield of irrigated plant peach palm at San Francisco River Valley

    Directory of Open Access Journals (Sweden)

    José Egidio Flori

    2004-02-01

    Full Text Available Com o objetivo de avaliar o rendimento de palmito de pupunheira irrigada em função da densidade de plantio, diâmetro de corte do estipe e o manejo dos perfilhos, instalou-se um experimento na Estação Experimental de Bebedouro da Embrapa Semi-Árido, Petrolina, PE. O delineamento utilizado foi de blocos ao acaso em parcelas subdivididas, sendo as parcelas constituídas por dois espaçamentos (2,0 x 1,0 m - E1 e 2,0 x 2,0 m - E2 e as subparcelas em arranjo fatorial 2 x 2, compreendendo dois manejos de perfilhos e duas classes de diâmetros de corte. As colheitas foram feitas a partir de 16 meses até os 69 meses após o plantio e realizadas com intervalos consecutivos de mais ou menos três meses. Pelos resultados, evidenciaram-se efeitos significativos para espaçamento, manejo de perfilhos e classe de diâmetro de corte. Não foram constatadas interações entre os tratamentos. Houve efeito significativo de espaçamento sobre o rendimento, diâmetro de corte, comprimento e peso médio do palmito. O rendimento e o peso do palmito da pupunheira foram de 545 e 434 kg ha-1 ano-1 e 147 g e 180 g nos espaçamentos E1 e E2, respectivamente. O diâmetro de corte afetou a altura da planta e peso médio do palmito. O manejo de perfilho afetou o rendimento e o peso médio do palmito, com 532 e 446 kg ha-1 e 177 e 149 g de palmito, respectivamente, no manejo de quatro e todos os perfilhos por planta. Pelos resultados, infere-se, como orientação técnica para os produtores de áreas irrigadas do Submédio São Francisco, o cultivo da pupunha no espaçamento de 2 m x 1 m, o manejo de quatro perfilhos por planta e o corte da planta com diâmetro variando de 10 a 12 cm, a 30 cm do nível do solo.The objective of this experiment was to evaluate the effect of planting density, cut-off diameter classes and shoot number on heart of palm production on irrigated peach palm. The experimental layout was a randomized split-plot design with a factorial arrangement

  2. Relationship Between Neck Circumference and Epicardial Fat Thickness in a Healthy Male Population

    Science.gov (United States)

    Küçük, Uğur; Küçük, Hilal Olgun; Cüce, Ferhat; Balta, Sevket

    2016-01-01

    Background: Epicardial fat is an upper body visceral fat depot that may play a significant role in the development of adverse metabolic and cardiovascular risk profiles. There is a significant direct relationship between the amount of epicardial fat and general body adiposity (body mass index, BMI), but data regarding subcutaneous adiposity is limited. Objective: We conducted a study to determine the association between neck circumference and epicardial fat thickness in healthy young male individuals, and assess their individual correlations with general body adiposity and cardiometabolic risk factors. Methods: One hundred consecutive male patients aged 18 years or older with no known major medical conditions were included in the study. All participants underwent detailed physical examination including measurement of blood pressure, weight, height, waist/hip ratio, and neck circumference. Blood was collected to determine fasting glucose and lipid parameters. A standard echocardiographic examination was performed with additional epicardial fat thickness determination. Results: Among 100 study participants, neck circumference correlated significantly with weight, waist circumference, BMI, blood glucose, serum total cholesterol, low-density (LDL)-cholesterol, and triglycerides levels. No significant correlation was found between neck circumference and high-density lipoprotein (HDL)-cholesterol levels. Neck circumference correlated moderately and positively with echocardiographic epicardial fat thickness. Conclusion: Among patients with low cardiometabolic risk, increased neck circumference was associated with increased epicardial fat thickness. PMID:27509093

  3. Higher Household Income and the Availability of Electronic Devices and Transport at Home Are Associated with Higher Waist Circumference in Colombian Children: The ACFIES Study

    Directory of Open Access Journals (Sweden)

    Diego Gómez-Arbeláez

    2014-02-01

    Full Text Available Background: The current “epidemic” of childhood obesity is described as being driven by modern lifestyles with associated socioeconomic and environmental changes that modify dietary habits, discourage physical activity and encourage sedentary behaviors. Objective: To evaluate the association between household income and the availability of electronic devices and transport at home, and the values of waist circumference (WC, as an indicator of abdominal obesity, in children and adolescents from Bucaramanga, Colombia. Methods: Cross-sectional study of public elementary and high school population, of low-middle socioeconomic status. Results: A total of 668 schoolchildren were recruited. After adjusting for potential confounders, significant positive associations between waist circumference and higher household income (p = 0.011, and waist circumference and the availability of electronic devices and transport at home (p = 0.026 were found. Conclusions: In low-middle socioeconomic status schoolchildren in a developing country, those from relatively more affluent families had greater waist circumference, an association that is opposite to that observed in developed countries. This finding could be related to higher income family’s ability to purchase electronic devices and motorized transport which discourage physical activity and for their children to buy desirable and more costly western fast food.

  4. Bacterial brain abscesses: prognostic value of an imaging severity index

    International Nuclear Information System (INIS)

    Aim: To assess the correlation between imaging findings [computed tomography (CT) or magnetic resonance imaging (MRI)] and neurological status before and after the treatment of bacterial brain abscesses. Materials and methods: CT and MRI images of 96 patients with brain abscesses were retrospectively evaluated in terms of the number, location and size of lesions, and the presence and extent of perilesional oedema and midline shift. An imaging severity index (ISI) based on these different radiological parameters was calculated. Initial Glasgow Coma Scale (GCS) scores and ISI were assessed and the prognostic value of these two indices was calculated. The Pearson correlation test, Mann-Whitney test, Chi-square test, receiver-operating characteristic (ROC) analysis, together with comparison of ROC analyses and Fisher's exact test were used. Results: There was a negative correlation between ISI and the initial GCS values: ISI increased as the GCS score decreased, indicating an inverse relationship (r = -0.51, p < 0.0001). There was a significant difference between the ISI and GCS scores of patients with an adverse event compared with patients with good recovery. Outcome was significantly worse in patients with initial ISI over the calculated cut-off values of 8 points or GCS scores under the cut-off value of 13 points. Conclusion: ISI is a useful prognostic indicator for bacterial brain abscess patients and correlates strongly with the patient outcome for all parameters studied. ISI score had a better prognostic value than GCS

  5. Hip circumference and cardiovascular morbidity and mortality in men and women

    DEFF Research Database (Denmark)

    Heitmann, Berit L; Frederiksen, Peder; Lissner, Lauren

    2004-01-01

    ) until the end of 1998 and all causes of death until 2001 were retrieved from the National Registers of Hospital Discharge. There was an average of 10 years of follow-up for incidence of CVD and CHD and 13 years of follow-up for total mortality. RESULTS: Large hip circumference, relative to body size...... and waist circumference, predicted less incidence of CVD, CHD, and total death in women. This was not the case in men; BMI and waist circumference were the strongest independent predictors. DISCUSSION: A large hip circumference seems to have independent and positive effects on CVD and CHD morbidity...... and mortality in women, but no protective effect on cardiovascular health in men. However, a borderline significant protective effect on total mortality was observed....

  6. Serial fetal abdominal circumference measurements in predicting normal birth weight in gestational diabetes mellitus.

    LENUS (Irish Health Repository)

    Neff, Karl J

    2013-06-24

    To construct a clinical management matrix using serial fetal abdominal circumference measurements (ACMs) that will predict normal birth weight in pregnancies complicated by gestational diabetes (GDM) and reduce unnecessary ultrasound examination in women with GDM.

  7. The relation between drinking pattern and body mass index and waist and hip circumference

    DEFF Research Database (Denmark)

    Tolstrup, J S; Heitmann, B. L.; Tjønneland, A M;

    2005-01-01

    and 24 552 women aged 50-65 y from the Diet, Cancer and Health Study, Denmark, 1993-1997 participated in the study. MEASUREMENTS: Drinking frequency, total alcohol intake, body mass index (BMI), and waist and hip circumference. RESULTS: Among men, total alcohol intake was positively associated with high......OBJECTIVES: To study the association between alcohol drinking pattern and obesity. DESIGN: Cross-sectional population study with assessment of quantity and frequency of alcohol intake, waist and hip circumference, height, weight, and lifestyle factors including diet. SUBJECTS: In all, 25 325 men...... BMI (>/=30 kg/m(2)), large waist circumference (>/=102 cm) and inversely associated with small hip circumference (associated with high BMI, large waist (>/=88 cm), and small hips only for the highest intake (28+ drinks/week). The most frequent drinkers had...

  8. Relation of Body Circumferences to Cardiometabolic Disease in Overweight-Obese Subjects.

    Science.gov (United States)

    Maddaloni, Ernesto; Cavallari, Ilaria; De Pascalis, Mariangela; Keenan, Hillary; Park, Kyoungmin; Manfrini, Silvia; Buzzetti, Raffaella; Patti, Giuseppe; Di Sciascio, Germano; Pozzilli, Paolo

    2016-09-15

    Body circumferences have been proposed as potential anthropometric measures for the assessment of cardiometabolic risk as they are independently associated with insulin resistance and diabetes. The aim of this study was to validate neck and wrist circumference and waist-to-hip ratio as practical markers of metabolic dysfunction and atherosclerosis; 120 subjects who underwent coronary angiography and carotid Doppler ultrasound were enrolled in this cross-sectional study. Exclusion criteria were history of diabetes, acute myocardial infarction, body mass index (BMI) media thickness: β = 0.104, R(2) = 0.118, p = 0.003. Carotid intima-media thickness and MS, but not body circumferences, were associated with advanced atherosclerosis. In conclusion, these data indicate that anthropometric measurements, in particular wrist circumference, can be used as practical tools for assessment of metabolic risk in overweight-obese subjects but not as markers of advanced atherosclerosis. PMID:27457430

  9. The cross-sectional shape and circumference of the human trachea.

    OpenAIRE

    Mehta, S; Myat, H. M.

    1984-01-01

    To design a large-volume, low-pressure cuff it is essential to take into consideration cross-sectional shape and circumference of human trachea. Two hundred adult tracheas were dissected and autopsy specimens examined. Cross-sectional tracheal shapes were studied and their circumference measured. There was a definite correlation between sex and the tracheal shapes studied. Forty five per cent of female tracheas were elliptical in shape and 38% were C shaped. The most common cross-sectional tr...

  10. The relationship between maternal pregestational body mass index and head circumference of infants

    OpenAIRE

    Negin Rezavand; Abolhassan Seyedzadeh; Maryam Zangeneh; Firoozeh Veisy; Mansour Rezaie; Sara Mostofi

    2014-01-01

    Background: The infantile head circumference is an accepted criterion for measurement of fetal development that has a direct association with development of the nervous system. Maternal body mass index (BMI) is an important determining factor that can be useful for the mother’s metabolic state and growth modulation. The present study investigated the relationship between infantile head circumference and maternal pregestational BMI. Methods: In this descriptive-analytical study, 366 women ...

  11. 辨认和控制能力精神医学评定量表划界标准与实证效度%Cut-off point and empirical validity of psychiatric assessment scale of cognitive and volition capacity in crime

    Institute of Scientific and Technical Information of China (English)

    李毅; 高北陵; 胡峰; 李学武; 王轶; 吴冬凌

    2014-01-01

    目的 检验辨认和控制能力精神医学评定量表(Psychiatric Assessment Scale of Cognitive and Volition Capacity in crime,PASCVC)的实证效度,并制定全国常模.方法 于2009年8月至2011年12月间在全国七大行政区的十五家司法鉴定机构共收集评定辨认和控制能力的司法精神鉴定案例1 000例,由量表评定者用PASCVC、精神病人限定刑事责任能力评定量表(Diminished Criminal Responsibility Rating Scale,DCRRS)和暴力作案行为人刑事责任能力评定量表(Criminal Responsibility Rating Scale of Violence,CRRSV)进行评分,所有案例均由鉴定人做出辨认和控制能力完全丧失、大部分丧失、部分丧失、小部分丧失、稍有受损和正常的六个等级判断.结果 ①依据频数分布表的结果得出:辨认和控制能力完全丧失的划界分为≤56、大部分丧失为57~ 66、部分丧失为67~76、小部分丧失为77~ 87、稍有受损为88~ 100、正常为≥101.②六级划界分评定的等级划分结果与专家鉴定意见的相关为0.939 (P=0.001).③PASCVC与DCRRS和CRRSV的一致性Kappa值分别为0.838和0.835 (P<0.001).④PASCVC量表评定和专家评定两种方法分别建立判别函数,回代判别量表与专家判断的正确率分别为86.9%和85.1%;两种分级结果的一致性Kappa值为0.857 (P<0.001).结论 该量表具有较好的实证效度,可作为辨认和控制能力司法鉴定的客观评定工具.%Objective To test the cut-off point and empirical validity of psychiatric assessment scale of cognitive and volition capacity for suspects in crime (PASCVC).Methods One thousand of forensic psychiatry cases from fifteen bodies of the seven administrative regions in China were collected for forensic assessment by the three scales of PASCVC,DCRRS and CRRSV in August 2009 to December 201 l.in all cases by the appraiser to make six grade judgment of the cognitive and volition capacity including completely lost

  12. The relationship between maternal pregestational body mass index and head circumference of infants

    Directory of Open Access Journals (Sweden)

    Negin Rezavand

    2014-03-01

    Full Text Available Background: The infantile head circumference is an accepted criterion for measurement of fetal development that has a direct association with development of the nervous system. Maternal body mass index (BMI is an important determining factor that can be useful for the mother’s metabolic state and growth modulation. The present study investigated the relationship between infantile head circumference and maternal pregestational BMI. Methods: In this descriptive-analytical study, 366 women with singleton term pregnancy (37 to 41 weeks and normal delivery in Imam Reza and Motazedi Hospitals of Kermanshah University of Medical Science were studied. Maternal pregestational BMI was calculated by pregestational weight and height. Then, the relationship between infantile head circumference and maternal BMI was studied. Results: There was not any statistically significant correlation between familial marriage, smoking, gestational age, parity and gender, and the variables under study. However, there was a statistically significant correlation between infantile head circumference, infantile BMI ratio, and maternal pregestational BMI. Also, there was a significant correlation between the maternal age and newborn's head circumference. Conclusion: The results of this study showed that infantile head circumference in mothers with high BMI was higher than in mothers with normal and low BMI. Furthermore, the findings revealed no significant correlation between gestational age, infantile growth and maternal education level. Considering the importance of this topic, further investigations are required to study the relationship between fetal growth and maternal BMI.

  13. Do thigh circumference and mass changes alter knee biomechanics during walking?

    Science.gov (United States)

    Westlake, Carolyn G; Milner, Clare E; Zhang, Songning; Fitzhugh, Eugene C

    2013-03-01

    Obese adults walk with different biomechanics compared to healthy weight adults. Previous studies have focused on knee biomechanics because they are associated with development and progression of osteoarthritis. Changes in thigh mass and circumference that occur as body weight increases may influence gait. The purpose of this study was to determine if increases in thigh mass and circumference alter gait biomechanics. For 20 healthy weight young adults (10 male and 10 female) knee kinematic, kinetic and gait temporospatial variables were collected using a three-dimensional motion capture system and a force platform during over ground walking. Data were collected during control, increased thigh mass, increased thigh circumference, and both increased mass and circumference conditions. Increases in thigh segment parameters reflected changes expected with a 10 point increase in body mass index. Step width was wider during the added circumference and combination conditions compared to the control condition. Increases in thigh circumference associated with obesity increase step width. This suggests the greater step width observed in obese adults compared to healthy weight adults is a result of the physical constraints introduced by their wider thigh segments. Peak knee flexion angle, peak knee extension moment, peak knee adduction angle, and peak knee abduction moment were similar in all conditions. Thus, acute changes in thigh segment parameters did not result in knee biomechanics suggestive of an increased risk of knee osteoarthritis.

  14. 疑似糖尿病患者中HbA1c诊断糖尿病应用价值及其切点研究%Validity and Cut-off Point of HbA1c for Early Detection of Suspected Patients with Diabetes Mellitus

    Institute of Scientific and Technical Information of China (English)

    梁国威; 何美琳; 徐旭; 邵冬华

    2012-01-01

    % ). Analysis by Receiver operator characteristic curve for diabetes diagnosis, showed that the area under the curve (AUC) was 0.881 of HbAl c (95% CI: 0.861 -0.900), which was equivalent to that of fasting blood glucose (FPG) (AUC: 0.899, 95% CI; 0.880-0.9160, P=0.205). The sensitivity of using HbAlc ≥ 6. 2% (79.2% ) as the diabetes diagnosis criterion was significantly higher than using FPG≥7.0 mmol/L (65.8% ) or HbAlc≥6.5% (67.4% ). Conclusion HbAlc measurement is suitable for diabetes diagnosis when FPG or OGTT is not available. An HbAl c threshold of 6. 2% is an optimal cut - off point for diabetes diagnosis.

  15. Waist circumference does not predict circulating adiponectin levels in sub-Saharan women

    Directory of Open Access Journals (Sweden)

    Gautier Jean-François

    2007-10-01

    Full Text Available Abstract Background Because of previously reported ethnic differences in determinants and markers of obesity and related metabolic disorders, we sought to investigate circulating levels of adiponectin and their correlates in a sub-Saharan African (sSA population. Subjects and Methods We studied 70 non-diabetic volunteers (33M/37F living in Yaoundé, Cameroon, aged 24–69 yr, with BMI 20–42 kg/m2. In all participants we measured waist circumference and total body fat by bioimpedance, and obtained a fasting venous blood sample for measurement of plasma glucose, serum insulin and adiponectin concentrations. We performed a euglycaemic hyperinsulinaemic clamp in 1/4 subjects, and HOMAIR was used as surrogate of fasting insulin sensitivity index since it best correlates to clamp measurements. Results Males had lower adiponectin levels than females (8.8 ± 4.3 vs. 11.8 ± 5.5 μg/L. There was no significant correlation between adiponectin and total body fat (rs = -0.03; NS, whereas adiponectin was inversely correlated with waist circumference (rs = -0.39; p = 0.001. Adiponectin correlated negatively with insulin resistance (rs = -0.35; p = 0.01. In a regression analysis using fasting adiponectin concentration as the dependent variable, and age, HOMAIR, waist circumference, and fat mass as predictors, waist circumference (β = -3.30; p = 0.002, fat mass (β = -2.68; p = 0.01, and insulin resistance (β = -2.38; p = 0.02 but not age (β = 1.11; p = 0.27 were independent predictors of adiponectin. When considering gender, these relations persisted with the exception of waist circumference in females. Conclusion Adiponectin correlates in this study population are comparable to those observed in Caucasians with the exception of waist circumference in women. The metabolic significance of waist circumference is therefore questioned in sSA women.

  16. Relação da cintura abdominal com a condição nutricional, perfil lipídico e pressão arterial em pré-escolares de baixo estrato socioeconômico Relationship between waist circumference and nutritional status, lipid profile and blood pressure in low socioeconomic level pre-school children

    Directory of Open Access Journals (Sweden)

    Roseli Saccardo Sarni

    2006-08-01

    Full Text Available OBJETIVO: Avaliar o diagnóstico nutricional, o perfil lipídico, os níveis pressóricos e a medida de cintura em pré-escolares. Pretende-se ainda verificar se a medida de cintura está associada com índices antropométricos usuais no diagnóstico nutricional, perfil lipídico e pressão arterial em crianças obesas e eutróficas. MÉTODOS: Estudo transversal realizado com 65 pré-escolares de baixo estrato socioeconômico, em escola municipal de Santo André. As avaliações clínico-laboratoriais consistiram em: medida de PA (Task Force, 1996, peso (P e estatura (E expressos como escore z (OMS, 1995 e IMC (índice de massa corpórea; níveis séricos de triglicérides, colesterol total e frações (VLDL-c, HDL-c, LDL-c (Kwiterowich e AHA. Análise estatística: Teste exato de Fisher e correlação. RESULTADOS: Observamos alto porcentual de inadequação da PA e lipídios séricos, independentemente da condição nutricional. A medida de cintura mostrou correlação positiva e significante com IMC e ZPE (r = 0,87 e r = 0,83; p OBJECTIVE: To evaluate anthropometric data, blood lipid levels, blood pressure (BP and waist circumference (WC in preschool children. To relate WC with blood lipid levels and BP in obese and non-obese children. METHODS: In a transversal study we investigated 65 preschool children of low socioeconomic level in Santo André, São Paulo. The evaluation consisted of BP measurement (Task Force, 1996, weight (W, height (H expressed as z score (WHO,1995 and body mass index (BMI, triglycerides, total and fractions of cholesterol blood levels (Kwiterovich and AHA. Statistical analysis: Fisher test and correlations. RESULTS: We observed high BP and lipid levels unrelated to nutritional status. WC was significantly and positively correlated to BMI and ZWH (r = 0,87 and r = 0,83, respectively. Using as a cut-off 75 percentile of WC we found an accuracy of 89,1% with 87,2% specificity and 70,6% sensitivity and predictive value

  17. Diagnostic values of cerebrospinal fluid t-tau and Aβ42 using Meso Scale Discovery assays for Alzheimer’s disease

    Science.gov (United States)

    Pan, Catherine; Korff, Ané; Galasko, Douglas; Ginghina, Carmen; Peskind, Elaine; Li, Ge; Quinn, Joseph; Montine, Thomas J.; Cain, Kevin; Shi, Min; Zhang, Jing

    2015-01-01

    Background Meso Scale Discovery (MSD) recently established electrochemiluminescence-based assays to measure cerebrospinal fluid (CSF) levels of total tau (t-tau) and amyloid beta 1–42 peptide (Aβ42) that can aid in the diagnosis of Alzheimer’s disease (AD). The goal of this investigation is to independently evaluate this platform and establish cut-off values of these biomarkers for AD diagnosis. Objective To validate the analytical and clinical performance of the MSD t-tau and Aβ42 kits and propose diagnostic cut-off values for the field. Methods The analytical performance of the CSF t-tau and Aβ42 assays was determined, followed by assessment of diagnostic performance of CSF t-tau, Aβ42 and t-tau/Aβ42 in three clinically characterized cohorts. Results Both MSD assays demonstrated consistent and stable analytical performance, as well as resistance to several important pre-analytic variables. Diagnostically, t-tau/Aβ42 performed the best. Conclusions Our results independently confirm the analytical and clinical performance of the MSD CSF t-tau and Aβ42 assays. Based on a large, multi-center, clinically diagnosed cohort, we propose for the first time candidate diagnostic cut-offs for MSD measured CSF t-tau, Aβ42 and t-tau/Aβ42. However, these values needs to be refined as more subjects are included and the assays are tested by other laboratories. PMID:25613100

  18. The relationships of waist and mid-thigh circumference with performance of college golfers.

    Science.gov (United States)

    Son, Seungbum; Han, Kunho; So, Wi-Young

    2016-03-01

    [Purpose] Our aim was to evaluate the relationships between waist and mid-thigh circumference, used as proxy measures of trunk and lower limb strengths, respectively, and selected parameters of driver and putting performance in Korean college golfers. [Subjects and Methods] The participants were 103 college golfers (81 male, 20 to 27 years old). Measurements of body composition, waist and mid-thigh circumference, and grip strength, as well as assessment of golf performance, including driver distance, driver swing speed, putting accuracy, and putting consistency, were performed at the golf performance laboratory at Konkuk University in Chungju-si, Republic of Korea. Average round score was obtained from 10 rounds of golf completed during the study period. The relationships between strength measures and golf performance were evaluated by partial correlation analysis, with adjustment for age, golf experience, and body mass index. [Results] Waist circumference did not correlate with any of the performance variables in both males and females. Mid-thigh circumference correlated with putting consistency (r = 0.364) in males and with putting consistency (r = 0.490) and accuracy (r = 0.547) in females. No other significant correlations between waist and mid-thigh circumference and golf performance were identified. [Conclusion] Lower limb strength may be an important component of putting performance. Further studies are needed to fully characterize the contributions of trunk strength to performance.

  19. Approaches for predicting long-term sickness absence. Re: Schouten et al. "Screening manual and office workers for risk of long-term sickness absence: cut-off points for the Work Ability Index".

    Science.gov (United States)

    van Amelsvoort, Ludovic Gpm; Jansen, Nicole W H; Kant, I Jmert

    2015-05-01

    an overestimation of the predictive value. A methodological approach of related issues is provided in the works of Glymour et al (5) and Hamilton et al (6). This phenomenon is even more clearly illustrated by the predictive properties of the workability index, as described by Alavinia et al (7, page 328), which reported that "when adjusted for individual characteristics, lifestyle factors, and work characteristics, two dimensions of the WAI were significant predictors for both moderate and long durations of sickness absence: (i) the presence of sickness absence in the past 12 months prior to the medical examination and (ii) experienced limitations due to health problems." So, when applied to the study by Schouten et al (1), this means that most of the predictive value would be related to the factors "sickness absence in the past 12 months". In addition, we object to the use of the term "screening" in the Schouten et al study as it includes workers with the intended outcome (long-term sickness absence). One can identify three separate aims to study the longitudinal association between risk factors and subsequent long-term sickness absence: (i) to establish causal risk factors for long-term sickness absence, often to find clues for primary preventive strategies (beyond the scope here); (ii) to identify high-risk workers who are still at work and might benefit from an intervention before sickness absence occurs (secondary prevention); and (iii) to identify workers on sick leave who might suffer a below-average return-to-work rate or have a high risk for the recurrence of (long-term) sickness absence and might benefit from intensification or optimization of the return-to-work process (tertiary prevention). In this light, one needs to separate screening instruments from predictive instruments and reserve the term "screening" for the situation as defined by Wilson and Junger (8, page 7): "The object of screening for disease is to discover those among the apparently well

  20. The Diagnostic Value of Pressure Algometry for Temporomandibular Disorders

    Directory of Open Access Journals (Sweden)

    Włodzimierz Więckiewicz

    2015-01-01

    Full Text Available The aim of this study is to determine the diagnostic value of pressure algometry in temporomandibular disorders. Two hundred volunteers aged 19.3 to 27.8 (mean 21.50, SD 0.97 participated in this study. An analogue pressure algometer was used for the evaluation of muscle tenderness of the following masticatory muscles: superficial and deep parts of the masseter muscle; anterior and posterior parts of the temporal muscle; and the tissues adjacent to the lateral and dorsal part of the temporomandibular joint capsule. Each patient described the algometry result for the individual components of the masticatory motor system, by selecting each time the intensity of pain on a 100 mm Visual Analogue Scale (VAS ruler. The area under the receiver operating characteristic (ROC curve, indicating the discriminatory efficiency for asymptomatic subjects and patients with temporomandibular dysfunction according to the dysfunction Di index, was the largest for the mean pain value (AUC = 0.8572; SEM = 0.0531. The 7.4 VAS cut-off point marked 95.3% specificity for this variable in identifying healthy subjects and 58.4% sensitivity in identifying patients with symptoms of dysfunctions (accuracy 68.1%. Assuming comparable sensitivity (74.9% and specificity (74.2% for a diagnostic test, there was test accuracy of 74.5% at the 4.2 VAS cut-off point.

  1. Diagnostic value of procalcitonin in acutely hospitalized elderly patients.

    Science.gov (United States)

    Steichen, O; Bouvard, E; Grateau, G; Bailleul, S; Capeau, J; Lefèvre, G

    2009-12-01

    The aim of this study was to evaluate procalcitonin as an adjunct to diagnose bacterial infections in older patients. One hundred seventy-two patients admitted to an acute-care geriatric unit during a 6-month period were prospectively included, 39 of them with an invasive bacterial infection. The best cut-off value to rule in a bacterial infection was 0.51 microg/l with sensitivity 64% and specificity 94%. The best cut-off value to rule out a bacterial infection was 0.08 microg/l with sensitivity 97% and specificity 20%. Procalcitonin was inconclusive (between 0.08 and 0.51 microg/l) for 112 admissions. Procalcitonin over 0.51 microg/l was useless 22 times out of 33 (infection already ruled in on clinical grounds) and misleading in eight of the 11 remaining cases (no infection). Procalcitonin below 0.08 microg/l was useless 23 times out of 27 (infection already ruled out on clinical grounds) and misleading in one of the four remaining cases (infection). Despite a good overall diagnostic accuracy, the clinical usefulness of PCT to diagnose invasive bacterial infections in elderly patients hospitalized in an acute geriatric ward appears to be very limited. PMID:19727867

  2. Alcohol drinking frequency in relation to subsequent changes in waist circumference

    DEFF Research Database (Denmark)

    Tolstrup, J.S.; Halkjaer, J.; Heitmann, B.L.;

    2008-01-01

    a prospective cohort study conducted in 1993-1997 (baseline) and 1999-2002 (follow-up) and included 43 543 men and women. Baseline information on alcohol drinking frequency was related to 1) change in waist circumference by linear regression and 2) major gain and major loss in waist circumference (defined...... as waist change in the lowest or highest quintile of waist changes) by polytomous logistic regression, also taking into account amount of alcohol intake. RESULTS: Drinking frequency was inversely associated with changes in waist circumference in women and was unassociated with changes in waist...... drinking, drinking on 1, 2-4, 5-6, and 7 d/wk, respectively, compared with men who drank alcohol on alcohol intake or total energy intake did not affect results considerably. CONCLUSIONS: Drinking pattern may...

  3. The diagnostic value of dynamic contrast-enhanced MRI for thyroid tumors

    Energy Technology Data Exchange (ETDEWEB)

    Yuan, Ying [Department of Radiology, Shanghai Ninth People' s Hospital, Affiliated to JiaoTong University School of Medicine, Shanghai 200011 (China); Yue, Xiu-Hui [Department of Radiology, Changzheng Hospital, Affiliated to Second Military Medical University, Shanghai 200003 (China); Tao, Xiao-Feng, E-mail: cjr.taoxiaofeng@vip.163.com [Department of Radiology, Shanghai Ninth People' s Hospital, Affiliated to JiaoTong University School of Medicine, Shanghai 200011 (China)

    2012-11-15

    Background and purpose: The exact place for dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in the diagnosis and management of thyroid tumors is still under debate. We performed the study to analyze and compare the parameters generated from DCE-MRI for thyroid lesions. Materials and methods: For each thyroid lesion, time intensity curves (TIC), time of peak enhancement (T{sub peak}), maximum enhancement ratio (ER{sub max}) and maximum rise slope (Slope{sub max}) were plotted and calculated. Receiver operator characteristics (ROC) analysis was conducted to assess the diagnostic ability and appropriate cut-off value. The area under the ROC curve (AUC) and the confidence intervals (CIs) were also assessed. Results: Forty-two patients were consecutively included. All 21 lesions demonstrated the rapid inflow and washout pattern (type-I) were benign. The 12 cases with delayed inflow pattern (type-III) were all malignant. When compared with the benign lesions, the thyroid carcinoma showed significantly lower Slope{sub max} and higher T{sub peak} (P < 0.05). No statistical difference of ER{sub max} was found between malignant and benign ones (P = 0.15). The AUC of ER{sub max}, Slope{sub max} and T{sub peak} in differentiating benign thyroid lesions from malignant ones were 0.63, 0.93and 1, respectively. The ER{sub max} cut-off value of 73.86 (sensitivity, 71.4%; specificity, 64.3%), Slope{sub max} cut-off value of 2.4126 (sensitivity, 92.9%; specificity, 82.1%) and T{sub peak} value of 28 (sensitivity, 100%; specificity, 100%) offered the best diagnostic performances. Conclusions: DCE-MRI, especially the pattern of TIC and the value of Slope{sub max} and T{sub peak}, could be helpful in differentiating thyroid carcinoma from benign thyroid lesions.

  4. Evaluation of marginal circumference and marginal thickness changes in precrimped stainless steel crowns, after recrimping

    Directory of Open Access Journals (Sweden)

    Afshar H

    2006-07-01

    Full Text Available Background and Aim: The need for recrimping precrimped stainless steel crowns by the dentist in clinic is controversial. This study aimed to evaluate the rate of marginal circumference and marginal thickness change of precrimped stainless steel crowns after recrimping. Materials and Methods: In this experimental study, 30 primary photos were taken from margins of 30 S.S.Cs (3M, Ni-Cr related to tooth 85 with a digital camera fixed at a determined distance. Margins of crowns were crimped by 114 and 137 pliers with a controlled force (0.2 N and then 30 secondary photos were taken in the same conditions. The circumference of crown margins in primary (group A and secondary (group B photos were assessed by a digitizer system. Comparing the circumferences of crown margins in primary and secondary photos showed a significant decrease after crimping. Thickness of 30 random points on the crown margins of a crown similar to mentioned cases was measured by SEM (×150. Then similar procedures including taking a primary photo, crimping and taking a secondary photo was done for the sample crown. After significant reduction in margin circumference, thickness of 30 other random points on the crown margin were measured by SEM. Data were analyzed by paired sample t-test with p<0.05 as the limit of significance. Results: The mean marginal circumference of precrimped stainless steel crowns was reduced by 7.3% which was significant (P<0.001. On the other hand the mean marginal thickness of sample stainless steel crown showed 18µ increase. Conclusion: According to the results of this study, marginal circumference of precrimped stainless steel crowns (3M, Ni-Cr showed a significant decrease after crimping. It is concluded that crimping the stainless steel crowns even for precrimped ones seems necessary.

  5. Waist circumference cutoff points for Chinese adults with metabolic syndrome defined by the International Diabetes Federation

    Institute of Scientific and Technical Information of China (English)

    Yanhui LU; Yuqing ZHANG; Changyu PAN; Juming LU; Shuyu WANG; Chunlin LI; Lisheng LIU; Runping ZHENG; Hui TIAN; Xianling WANG; Lijuan YANG

    2007-01-01

    Objective To investigate the appropriate waist circumference (WC) cutoff points for central obesity in the middle-aged and elderly Beijing residents by the metabolic syndrome definition of the International Diabetes Federation (IDF). Methods A total of 2,344Beijing residents aged ≥40 years were investigated. They answered questionnaires, received physical examinations, and underwent plasma glucose and lipid profile measurement. Those non-diabetic subjects underwent a 75g oral glucose tolerance test. All data were analyzed to calculate the appropriate WC cutoff points for central obesity reaching the diagonsis of MS. Results 1) Both in males and females, the triglyceride (TG), systolic blood pressure, diastolic blood pressure and fasting plasma glucose (FPG) increased linearly with WC, and the high density lipoprotein cholesterol (HDL-C) decreased linearly with WC (P<0.05). 2)The prevalence of elevated TG,reduced HDL-C, elevated blood pressure, elevated FBG, or ≥ 2 of these factors increased with WC (P<0.05). 3) Based on the receiver operating characteristic (ROC) curve analysis and Youden index, the WC values for central obesity and for detecting BMI ≥ 25 kg/m2were about 90 cm for men and 80 cm for women. 4) The odds ratio for the presence of two or more metabolic risk factors increased abruptly in men with WC ≥ 90 cm and in women with WC ≥ 80 cm. Conclusions The appropriate WC cutoff point for central obesity was determined to be 90 cm for men and 80 cm for women in the middle-aged and elderly Beijing residents by the metabolic syndrome definition of IDF.

  6. Glycemic index and glycemic load of thirteen year old children whose waist circumference (WC ≥ 90 percentile dependent on BMI

    Directory of Open Access Journals (Sweden)

    Zuzanna Goluch-Koniuszy

    2011-06-01

    Full Text Available Background. One of the reasons for the accumulation of fat tissue (including visceral fat tissue in the body is an unbalanced diet in respect of the amount and the structure of carbohydrates and the value of the glycemic index (GI and the glycemic load (GL. The research describing the dependence between the BMI (Body Mass Index, WC (Waist Circumference, WHtR (Waist-to-Height Ratio, and GI and GL indexes in adults exists but only a limited number of works discuss children during the pubertal spurt. Therefore the objective of this research is the evaluation of the state of nutrition of 13-year-old children with waist circumference ≥ 90 percentile with various BMI, taking into consideration GL and GL of their meals. Material and methods.The state of nutrition (BMI, WC, WHtR of 871 thirteen-year-old children of both sexes was evaluated and 230 children with WC ≥ 90 percentile were selected (26.4% of the total number examined and divided into three groups regarding the BMI. In 71 children (30.9% of the selected group the method of nutrition, energy and nutritive value of menus, structure of consumption of food groups and GI and GL value were evaluated, on the basis of the analysis of their three day menus, which had been documented. Results.Significantly higher values of BMI and WC were ascertained in boys than in girls. No essential differences in values of WHtR index were ascertained between boys and girls. The analysis of children’s menus, in both sexes with a waist circumference ≥ 90 percentile showed, regardless of BMI value, a low realisation of recommended energetic value of the diet and low realisation of recommended supply of: dietary fibre, fat, mineral components (K, Ca, P, Mg, Fe, Zn, Cu, vitamins (E, B1, PP and liquids with simultaneous occurrence of protein in general and animal protein, sodium and vitamins (A, B2, B6 supply. A significantly higher supply of the most of aforementioned ingredients was ascertained in the

  7. Detection of occult vertebral fractures by quantitative assessment of bone marrow attenuation values at MDCT

    Energy Technology Data Exchange (ETDEWEB)

    Henes, Frank Oliver, E-mail: f.henes@uke.de [Department of Diagnostic and Interventional Radiology, Center for Radiology and Endoscopy, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg (Germany); Groth, Michael [Department of Diagnostic and Interventional Neuroradiology, Center for Radiology and Endoscopy, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg (Germany); Kramer, Harald [Department of Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Marchioninistr. 15, 81377 Munich (Germany); Department of Radiology, University of Wisconsin – Madison, Clinical Science Center, 600 Highland Avenue, Madison, WI 53792 (United States); Schaefer, Christian [Department of Trauma-, Hand- and Reconstructive Surgery, Spine Center, Center for Surgical Sciences, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg (Germany); Regier, Marc; Derlin, Thorsten; Adam, Gerhard; Bannas, Peter [Department of Diagnostic and Interventional Radiology, Center for Radiology and Endoscopy, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg (Germany)

    2014-01-15

    Objectives: To determine a cut-off value of Hounsfield attenuation units (HU) at multidetector computed tomography (MDCT) for valid and reliable detection of bone marrow oedema (BME) related to occult vertebral fractures. Methods: 36 patients underwent both MDCT and Magnetic Resonance Imaging (MRI) for evaluation of vertebral fractures of the thoracolumbar spine and were included in this retrospective study. Two readers independently assessed HU values at MDCT in a total of 196 vertebrae. Reliability was assessed by intraclass correlation coefficient and Bland–Altman analysis. For each patient we determined the vertebra with the lowest HU value and calculated the HU-difference to each other vertebral body. HU-differences were subjected to receiver operating characteristic (ROC) curve analysis to determine the diagnostic accuracy for detection of BME as determined by MRI, which served as the reference standard. Results of HU-measurements were compared with standard visual evaluation of MDCT. Results: HU measurements demonstrated a high interrater reliability (ICC = 0.984). ROC curve analysis (AUC = 0.978) exhibited an ideal cut-off value of 29.6 HU for detection of BME associated with vertebral fractures with an accuracy of 97.4% as compared to 93.4% accuracy of visual evaluation. Particularly, HU-measurements increased the sensitivity for detection of vertebral fractures from 78.0% to 92.7% due to the detection of 7 of 9 occult fractures that were missed by visual evaluation alone. Conclusions: Assessing bone marrow density by HU measurements using the cut-off of 29.6 HU is a valid and reliable tool for detection of BME related to occult vertebral fractures in MDCT. The introduced technique may allow more accurate treatment decisions and may make further diagnostic work-up with MRI unnecessary.

  8. Detection of occult vertebral fractures by quantitative assessment of bone marrow attenuation values at MDCT

    International Nuclear Information System (INIS)

    Objectives: To determine a cut-off value of Hounsfield attenuation units (HU) at multidetector computed tomography (MDCT) for valid and reliable detection of bone marrow oedema (BME) related to occult vertebral fractures. Methods: 36 patients underwent both MDCT and Magnetic Resonance Imaging (MRI) for evaluation of vertebral fractures of the thoracolumbar spine and were included in this retrospective study. Two readers independently assessed HU values at MDCT in a total of 196 vertebrae. Reliability was assessed by intraclass correlation coefficient and Bland–Altman analysis. For each patient we determined the vertebra with the lowest HU value and calculated the HU-difference to each other vertebral body. HU-differences were subjected to receiver operating characteristic (ROC) curve analysis to determine the diagnostic accuracy for detection of BME as determined by MRI, which served as the reference standard. Results of HU-measurements were compared with standard visual evaluation of MDCT. Results: HU measurements demonstrated a high interrater reliability (ICC = 0.984). ROC curve analysis (AUC = 0.978) exhibited an ideal cut-off value of 29.6 HU for detection of BME associated with vertebral fractures with an accuracy of 97.4% as compared to 93.4% accuracy of visual evaluation. Particularly, HU-measurements increased the sensitivity for detection of vertebral fractures from 78.0% to 92.7% due to the detection of 7 of 9 occult fractures that were missed by visual evaluation alone. Conclusions: Assessing bone marrow density by HU measurements using the cut-off of 29.6 HU is a valid and reliable tool for detection of BME related to occult vertebral fractures in MDCT. The introduced technique may allow more accurate treatment decisions and may make further diagnostic work-up with MRI unnecessary

  9. On the Cut-off Point for Combinatorial Group Testing

    DEFF Research Database (Denmark)

    Fischer, Paul; Klasner, N.; Wegener, I.

    1999-01-01

    The following problem is known as group testing problem for n objects. Each object can be essential (defective) or non-essential (intact). The problem is to determine the set of essential objects by asking queries adaptively. A query can be identified with a set Q of objects and the query Q is an...

  10. Man Cuts Off Penis in Fit of Religious Fervor

    Institute of Scientific and Technical Information of China (English)

    朱土英

    2002-01-01

    一位菲律宾的男子自残,用利刃割下了自己的阳物。主要原因是其妻离他而去。到首都马尼拉去做保姆(housemaid)了。他想象自己的阳物正像眼镜蛇一样逼近其他女性(his penis as a"cobra"(眼镜蛇)drawing him towardwomen),而《马太福音》曾云:If your hand or your foot causes you to sin,cut it offand throw it away.于是,此君对自己下了“毒手”。可幸的是,手术成功,割下的阳物又被接上。只是短了20%……

  11. A cut-off tubular geometry of loop space

    CERN Document Server

    Mukhopadhyay, Partha

    2014-01-01

    Motivated by the computation of loop space quantum mechanics as indicated in [7], here we seek a better understanding of the tubular geometry of loop space ${\\cal L}{\\cal M}$ corresponding to a Riemannian manifold ${\\cal M}$ around the submanifold of vanishing loops. Our approach is to first compute the tubular metric of $({\\cal M}^{2N+1})_{C}$ around the diagonal submanifold, where $({\\cal M}^N)_{C}$ is the Cartesian product of $N$ copies of ${\\cal M}$ with a cyclic ordering. This gives an infinite sequence of tubular metrics such that the one relevant to ${\\cal L}{\\cal M}$ can be obtained by taking the limit $N\\to \\infty$. Such metrics are computed by adopting an indirect method where the general tubular expansion theorem of [12] is crucially used. We discuss how the complete reparametrization isometry of loop space arises in the large-$N$ limit and verify that the corresponding Killing equation is satisfied to all orders in tubular expansion. These tubular metrics can alternatively be interpreted as some n...

  12. [ANTHROPOMETRIC PARAMETERS' CUT-OFF POINTS FOR DIAGNOSIS OF SARCOPENIA].

    Science.gov (United States)

    Canda Moreno, Alicia S

    2015-08-01

    Introducción: la sarcopenia es un síndrome caracterizado por baja masa muscular junto con pérdida de fuerza y/o disminución del rendimiento físico. Debido al envejecimiento de nuestra población, se ha producido un aumento de su prevalencia relacionada con la edad, a la que se suman otros factores causados por ciertas enfermedades o la malnutrición. Objetivo: ofrecer una herramienta para el diagnóstico de sarcopenia que determine de forma accesible la pérdida de masa muscular. Material y métodos: se realizó un protocolo antropométrico estandarizado en 883 varones y 506 mujeres, sanos y activos, de edad entre 20 y 39 años. Se calcularon los siguientes índices de desarrollo muscular: perímetros (brazo, antebrazo, muslo y pierna), perímetros corregidos (brazo, muslo y pierna), áreas musculares transversales (CSA de brazo, muslo y pierna) y masa muscular total (kg), en porcentaje (%) y relativa a la talla (kg/m2) mediante la ecuación de Lee. Se fijó como punto de corte el percentil 2,5 (rango inferior del 95% del intervalo de confianza) para las variables estudiadas. Resultados: se encontraron diferencias significativas (p < 0,0001) entre varones y mujeres en todos los indicadores. Los valores del punto de corte de diagnóstico de baja masa muscular fue en varones de 9,1 kg/m2, y en mujeres de 7,3 kg/m2. Y para las CSA (cm2) varón vs. mujer: brazo, 37,7 vs. 24,2; muslo, 154,3 vs. 115,8; y pierna, 78,8 vs. 60,2. Conclusiones: existe dimorfismo sexual que exige criterios diagnósticos diferenciados. La técnica antropométrica puede servir como screening de sarcopenia en el estudio de grandes poblaciones.

  13. The UV cut-off and trans-Planckian physics

    International Nuclear Information System (INIS)

    Full text: Physics at ultra high energies, far above those presently probed, is unknown. It is expected that modifications of the field equations become relevant at some point. Besides, it would be positive if field modes could get less relevant as bigger energies are at play. Many possible approaches to this subject, based either on some kind of refashioning of the laws of Physics, like String Theory and remaking of gravity, or on pure phenomenological grounds, are being now discussed. There does not seem to be a consensus in the literature concerning the possible outcome of these changes, nor in the near future. Moreover, one must find some observable effect of this new Physics. As such energies are not reached by experiments at hand, one needs to seek for results relevant at low energies. We address the possibility of introducing an Ultraviolet attenuation of the occupation of high modes by verifying its effects on inflationary perturbations and Hawking radiation. We consider the changes to be the outcome of an unknown modification of the physics at very high energies (Trans-Planckian Physics). The spectrum of inflationary perturbations is shown to be in agreement with observations, and the consequences for the Hawking radiation are being analyzed. (author)

  14. Jealous Wife Cuts Off Husband’s Testicle

    Institute of Scientific and Technical Information of China (English)

    杨芳

    2001-01-01

    本文提供了一个有用的表达:extra-marital affair(婚外恋),本文提供了一个惊人的案例:香港一女子把不忠诚的丈夫的一个睾丸割掉了,本文还提供了一个不争的事实:婚外恋苦人害己!】

  15. Cosmic Rays from the Ankle to the Cut-Off

    CERN Document Server

    Kampert, Karl-Heinz

    2014-01-01

    Recent advances in measuring and interpreting cosmic rays from the spectral ankle to the highest energies are briefly reviewed. The prime question at the highest energies is about the origin of the flux suppression observed at E ~ 4x10^{19} eV. Is this the long awaited GZK-effect or the exhaustion of sources? The key to answering this question will be provided by the largely unknown mass composition at the highest energies. The high level of isotropy observed even at the highest energies challenges models of a proton dominated composition if extragalactic magnetic fields are on the order of a few nG or less. We shall discuss the experimental and theoretical progress in the field and the prospects for the next decade.

  16. AGASA energy spectrum and the GZK cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Capdevielle, J.N.; Cohen, F. [APC Astroparticules et Cosmologie, Univ. de Paris 7, 10 rue Alice Domont et Leonie Duquet, 75205 Paris (France); Szabelska, B.; Szabelski, J. [The Andrzej Soltan Institute for Nuclear Studies, Cosmic Ray Laboratory 90-950 Lodz 1, POBox 447 (Poland)

    2009-12-15

    We discuss primary CR energy estimations for very large surface EAS experiments. We show that the procedure of energy determination via the relation to particle densities at 600 m from the shower axis, rho{sub 600}, requires a specific treatment for inclined cascades when the maximum of EAS development is close to the array. As follows from simulations and cascade theory, using an exponential function for rho{sub 600} conversion from inclined to vertical showers is no longer valid and leads to an overestimate of the primary energy. We present a procedure to reconstruct the primary spectrum that can reduce the discrepancy between the results of fluorescence experiments and surface arrays.

  17. Value of transient elastography for the prediction of variceal bleeding

    Institute of Scientific and Technical Information of China (English)

    Ioan Sporea; Iulia Ra(t)iu; Roxana (S)irli; Alina Popescu; Simona Bota

    2011-01-01

    AIM: To determine if liver stiffness (LS) measurements by means of transient elastography (TE) correlate with the presence of significant esophageal varices (EV) and if they can predict the occurrence of variceal bleeding. METHODS: We studied 1000 cases of liver cirrhosis divided into 2 groups: patients without EV or with grade 1 varices (647 cases) and patients with significant varices (grade 2 and 3 EV) (353 cases). We divided the group of 540 cases with EV into another 2 subgroups: without variceal hemorrhage (375 patients) and patients with a history of variceal bleeding (165 cases). We compared the LS values between the groups using the unpaired t-test and we established cut-off LS values for the presence of significant EV and for the risk of bleeding by using the ROC curve. RESULTS: The mean LS values in the 647 patients without or with grade 1 EV was statistically significantly lower than in the 353 patients with significant EV (26.29 ± 0.60 kPa vs 45.21 ± 1.07 kPa,P < 0.0001). Using the ROC curve we established a cut-off value of 31 kPa for the presence of EV,with 83% sensitivity (95% CI: 79.73%-85.93%) and 62% specificity (95% CI: 57.15%-66.81%),with 76.2% positive predictive value (PPV) (95% CI: 72.72%-79.43%) and 71.3% negative predictive value (NPV) (95% CI: 66.37%-76.05%) (AUROC 0.7807,P < 0.0001). The mean LS values in the group with a history of variceal bleeding (165 patients) was statistically significantly higher than in the group with no bleeding history (375 patients): 51.92 ± 1.56 kPa vs 35.20 ± 0.91 kPa,P < 0.0001). For a cut-off value of 50.7 kPa,LS had 53.33% sensitivity (95% CI: 45.42%-61.13%) and 82.67% specificity (95% CI: 78.45%-86.36%),with 82.71% PPV (95% CI: 78.5%-86.4%) and 53.66% NPV (95% CI: 45.72%-61.47%) (AUROC 0.7300,P < 0.0001) for the prediction of esophageal bleeding. CONCLUSION: LS measurement by means of TE is a reliable noninvasive method for the detection of EV and for the prediction of variceal bleeding.

  18. Alcohol drinking frequency in relation to subsequent changes in waist circumference

    DEFF Research Database (Denmark)

    Tolstrup, Janne S; Halkjaer, Jytte; Heitmann, Berit L;

    2008-01-01

    BACKGROUND: Cross-sectional studies have reported a lower prevalence of abdominal obese persons among frequent drinkers than among nonfrequent drinkers. OBJECTIVE: We tested the hypothesis that drinking frequency is associated with subsequent changes in waist circumference. DESIGN: Data come from...

  19. Waist circumference adjusted for body mass index and intra-abdominal fat mass

    DEFF Research Database (Denmark)

    Berentzen, Tina Landsvig; Ängquist, Lars; Kotronen, Anna;

    2012-01-01

    The association between waist circumference (WC) and mortality is particularly strong and direct when adjusted for body mass index (BMI). One conceivable explanation for this association is that WC adjusted for BMI is a better predictor of the presumably most harmful intra-abdominal fat mass (IAFM...

  20. Waist Circumference and Objectively Measured Sedentary Behavior in Rural School Adolescents

    Science.gov (United States)

    Machado-Rodrigues, Aristides M.; Coelho e Silva, Manuel J.; Ribeiro, Luís P.; Fernandes, Romulo; Mota, Jorge; Malina, Robert M.

    2016-01-01

    Background: Research on relationships between lifestyle behaviors and adiposity in school youth is potentially important for identifying subgroups at risk. This study evaluates the associations between waist circumference (WC) and objective measures of sedentary behavior (SB) in a sample of rural school adolescents. Methods: The sample included…

  1. At what age is hydrocephalus detected, and what is the role of head circumference measurements?

    NARCIS (Netherlands)

    Breuning-Broers, J.M.; Deurloo, J.A.; Gooskens, R.H.; Verkerk, P.H.

    2014-01-01

    To investigate at what age hydrocephalus is detected and to assess the role of head circumference measurements in detecting hydrocephalus, we performed a retrospective chart review in children with hydrocephalus treated in a tertiary paediatric hospital in the Netherlands. The study group contained

  2. Yogurt consumption is associated with longitudinal changes of body weight and waist circumference: the framingham study

    Science.gov (United States)

    Yogurt, as a low-fat, nutrient-dense dairy product, may be beneficial in preventing weight gain. We aimed to examine the longitudinal association between yogurt consumption and annualized change in weight and waist circumference (WC) among adults. We included 3,285 adults (11,169 observations) parti...

  3. Common variants at 12q15 and 12q24 are associated with infant head circumference

    DEFF Research Database (Denmark)

    Taal, H Rob; St Pourcain, Beate; Thiering, Elisabeth;

    2012-01-01

    To identify genetic variants associated with head circumference in infancy, we performed a meta-analysis of seven genome-wide association studies (GWAS) (N = 10,768 individuals of European ancestry enrolled in pregnancy and/or birth cohorts) and followed up three lead signals in six replication s...

  4. Short children with a low midupper arm circumference respond to food supplementation

    DEFF Research Database (Denmark)

    Fabiansen, Christian; Phelan, Kevin P Q; Cichon, Bernardette;

    2016-01-01

    BACKGROUND: The management of children with moderate acute malnutrition (MAM) is based on food supplementation in outpatient programs. When midupper arm circumference (MUAC) is used as the sole admission criterion, it is common practice to exclude children with lengths ... rate between children supplements. Children aged 6-23 mo were included...

  5. Common variants at 12q15 and 12q24 are associated with infant head circumference

    NARCIS (Netherlands)

    Taal, H. Rob; St Pourcain, Beate; Thiering, Elisabeth; Das, Shikta; Mook-Kanamori, Dennis O.; Warrington, Nicole M.; Kaakinen, Marika; Kreiner-Moller, Eskil; Bradfield, Jonathan P.; Freathy, Rachel M.; Geller, Frank; Guxens, Monica; Cousminer, Diana L.; Kerkhof, Marjan; Timpson, Nicholas J.; Ikram, M. Arfan; Beilin, Lawrence J.; Bonnelykke, Klaus; Buxton, Jessica L.; Charoen, Pimphen; Chawes, Bo Lund Krogsgaard; Eriksson, Johan; Evans, David M.; Hofman, Albert; Kemp, John P.; Kim, Cecilia E.; Klopp, Norman; Lahti, Jari; Lye, Stephen J.; McMahon, George; Mentch, Frank D.; Mueller-Nurasyid, Martina; O'Reilly, Paul F.; Prokopenko, Inga; Rivadeneira, Fernando; Steegers, Eric A. P.; Sunyer, Jordi; Tiesler, Carla; Yaghootkar, Hanieh; Breteler, Monique M. B.; Debette, Stephanie; Fornage, Myriam; Gudnason, Vilmundur; Launer, Lenore J.; van der Lugt, Aad; Mosley, Thomas H.; Seshadri, Sudha; Smith, Albert V.; Vernooij, Meike W.; Blakemore, Alexandra I. F.; Chiavacci, Rosetta M.; Feenstra, Bjarke; Fernandez-Banet, Julio; Grant, Struan F. A.; Hartikainen, Anna-Liisa; van der Heijden, Albert J.; Iniguez, Carmen; Lathrop, Mark; McArdle, Wendy L.; Molgaard, Anne; Newnham, John P.; Palmer, Lyle J.; Palotie, Aarno; Pouta, Annneli; Ring, Susan M.; Sovio, Ulla; Standl, Marie; Uitterlinden, Andre G.; Wichmann, H-Erich; Vissing, Nadja Hawwa; DeCarli, Charles; van Duijn, Cornelia M.; McCarthy, Mark I.; Koppelman, Gerard H.; Estivill, Xavier; Hattersley, Andrew T.; Melbye, Mads; Bisgaard, Hans; Pennell, Craig E.; Widen, Elisabeth; Hakonarson, Hakon; Smith, George Davey; Heinrich, Joachim; Jarvelin, Marjo-Riitta; Jaddoe, Vincent W. V.; Adair, Linda S.; Ang, Wei; Atalay, Mustafa; van Beijsterveldt, Toos; Bergen, Nienke; Benke, Kelly; Berry, Diane; Bradfield, Jonathan P.; Charoen, Pimphen; Coin, Lachlan; Cousminer, Diana L.; Das, Shikta; Davis, Oliver S. P.; Elliott, Paul; Evans, David M.; Feenstra, Bjarke; Flexeder, Claudia; Frayling, Tim; Freathy, Rachel M.; Gaillard, Romy; Geller, Frank; Groen-Blokhuis, Maria; Goh, Liang-Kee; Guxens, Monica; Haworth, Claire M. A.; Hadley, Dexter; Hedebrand, Johannes; Hinney, Anke; Hirschhorn, Joel N.; Holloway, John W.; Holst, Claus; Hottenga, Jouke Jan; Horikoshi, Momoko; Huikari, Ville; Hypponen, Elina; Iniguez, Carmen; Kaakinen, Marika; Kilpelainen, Tuomas O.; Kirin, Mirna; Kowgier, Matthew; Lakka, Hanna-Maaria; Lange, Leslie A.; Lawlor, Debbie A.; Lehtimaki, Terho; Lewin, Alex; Lindgren, Cecilia; Lindi, Virpi; Maggi, Reedik; Marsh, Julie; Middeldorp, Christel; Millwood, Iona; Mook-Kanamori, Dennis O.; Murray, Jeffrey C.; Nivard, Michel; Nohr, Ellen Aagaard; Ntalla, Ioanna; Oken, Emily; O'Reilly, Paul F.; Palmer, Lyle J.; Panoutsopoulou, Kalliope; Pararajasingham, Jennifer; Prokopenko, Inga; Rodriguez, Alina; Salem, Rany M.; Sebert, Sylvain; Siitonen, Niina; Sovio, Ulla; St Pourcain, Beate; Strachan, David P.; Sunyer, Jordi; Taal, H. Rob; Teo, Yik-Ying; Thiering, Elisabeth; Tiesler, Carla; Uitterlinden, Andre G.; Valcarcel, Beatriz; Warrington, Nicole M.; White, Scott; Willemsen, Gonneke; Yaghootkar, Hanieh; Zeggini, Eleftheria; Boomsma, Dorret I.; Cooper, Cyrus; Estivill, Xavier; Gillman, Matthew; Grant, Struan F. A.; Hakonarson, Hakon; Hattersley, Andrew T.; Heinrich, Joachim; Hocher, Berthold; Jaddoe, Vincent W. V.; Jarvelin, Marjo-Riitta; Lakka, Timo A.; McCarthy, Mark I.; Melbye, Mads; Mohlke, Karen L.; Dedoussis, George V.; Ong, Ken K.; Pearson, Ewan R.; Pennell, Craig E.; Price, Thomas S.; Power, Chris; Raitakari, Olli T.; Saw, Seang-Mei; Scherag, Andre; Simell, Olli; Sorensen, Thorkild I. A.; Timpson, Nicholas J.; Widen, Elisabeth; Wilson, James F.; Ang, Wei; van Beijsterveldt, Toos; Bergen, Nienke; Benke, Kelly; Berry, Diane; Bradfield, Jonathan P.; Charoen, Pimphen; Coin, Lachlan; Cousminer, Diana L.; Das, Shikta; Elliott, Paul; Evans, David M.; Frayling, Tim; Freathy, Rachel M.; Gaillard, Romy; Groen-Blokhuis, Maria; Guxens, Monica; Hadley, Dexter; Hottenga, Jouke Jan; Huikari, Ville; Hypponen, Elina; Kaakinen, Marika; Kowgier, Matthew; Lawlor, Debbie A.; Lewin, Alex; Lindgren, Cecilia; Marsh, Julie; Middeldorp, Christel; Millwood, Iona; Mook-Kanamori, Dennis O.; Nivard, Michel; O'Reilly, Paul F.; Palmer, Lyle J.; Prokopenko, Inga; Rodriguez, Alina; Sebert, Sylvain; Sovio, Ulla; St Pourcain, Beate; Standl, Marie; Strachan, David P.; Sunyer, Jordi; Taal, H. Rob; Thiering, Elisabeth; Tiesler, Carla; Uitterlinden, Andre G.; Valcarcel, Beatriz; Warrington, Nicole M.; White, Scott; Willemsen, Gonneke; Yaghootkar, Hanieh; Boomsma, Dorret I.; Estivill, Xavier; Grant, Struan F. A.

    2012-01-01

    To identify genetic variants associated with head circumference in infancy, we performed a meta-analysis of seven genome-wide association studies (GWAS) (N = 10,768 individuals of European ancestry enrolled in pregnancy and/or birth cohorts) and followed up three lead signals in six replication stud

  6. Common variants at 12q15 and 12q24 are associated with infant head circumference

    NARCIS (Netherlands)

    H.R. Taal (Rob); B. St Pourcain (Beate); E. Thiering (Eelisabeth); S. Das; D.O. Mook-Kanamori (Dennis); N. Warrington (Nicole); M. Kaakinen (Marika); E. Kreiner-Møller (Eskil); J.P. Bradfield (Jonathan); R.M. Freathy (Rachel); F. Geller (Frank); M. Guxens (Mònica ); D.L. Cousminer (Diana); M. Kerkhof (Marjan); N. Timpson (Nicholas); M.A. Ikram (Arfan); L.J. Beilin (Lawrie); K. Bønnelykke (Klaus); J.L. Buxton (Jessica L); P. Charoen (Pimphen); B.L.K. Chawes (Bo Lund Krogsgaard); K. Hagen (Knut); D.M. Evans (David); A. Hofman (Albert); J.P. Kemp (John); C.E. Kim (Cecilia); N. Klopp (Norman); J. Lahti (Jari); S.J. Lye (Stephen); G. Mcmahon (George); F.D. Mentch (Frank); M. Müller-Nurasyid (Martina); P.F. O'Reilly (Paul); I. Prokopenko (Inga); F. Rivadeneira Ramirez (Fernando); E.A.P. Steegers (Eric); J. Sunyer (Jordi); C. Tiesler (Carla); H. Yaghootkar (Hanieh); M. Fornage (Myriam); S. Seshadri (Sudha); R. Schmidt (Reinhold); S. Debette (Stéphanie); H.A. Vrooman (Henri); S. Sigurdsson (Stefan); S. Ropele (Stefan); L.H. Coker (Laura); W.T. Longstreth Jr; W.J. Niessen (Wiro); A.L. DeStefano (Anita); A. Beiser (Alexa); A.P. Zijdenbos; M.V. Struchalin (Maksim); C.R. Jack Jr. (Clifford); M.A. Nalls (Michael); R. Au (Rhoda); H. Gudnason (Haukur); A. van der Lugt (Aad); T.B. Harris (Tamara); W.M. Meeks (William); M.W. Vernooij (Meike); M.A. van Buchem (Mark); D.J. Catellier (Diane); V. Gudnason (Vilmundur); B.G. Windham (B Gwen); P.A. Wolf (Philip); C.M. van Duijn (Cock); T.H. Mosley (Thomas); R. Schmidt (Reinhold); L.J. Launer (Lenore); M.M.B. Breteler (Monique); W.Q. Ang (Wei); C.E.M. van Beijsterveldt (Toos); N.E. Bergen (Nienke); P.J. Benke (Paul); D. Berry (Diane); L. Coin (Lachlan); P. Elliott (Paul); T.M. Frayling (Timothy); R. Gaillard (Romy); M. Groen-Blokhuis (Maria); D. Hadley (David); J.J. Hottenga (Jouke Jan); V. Huikari (Ville); E. Hypponen (Elina); M. Kowgier (Matthew); D.A. Lawlor (Debbie); A. Lewin (Alex); C.M. Lindgren (Cecilia); J.A. Marsh (Julie); C.M. Middeldorp (Christel); I.Y. Millwood (Iona); M. Nivard (Michel); C. Palmer (Cameron); A. Rodriguez (Alfredo Chapin); S. Sebert (Sylvain); U. Sovio (Ulla); E. Standl (Eberhard); D.P. Strachan (David); H.R. Taal (Rob); A.G. Uitterlinden (André); B. Valcárcel (Beatriz); S. White (Scott); G.A.H.M. Willemsen (Gonneke); D.I. Boomsma (Dorret); X. Estivill (Xavier); S.F. Grant; A.T. Hattersley (Andrew); J. Heinrich (Joachim); V.W.V. Jaddoe (Vincent); M.-R. Jarvelin (Marjo-Riitta); M.I. McCarthy (Mark); C.E. Pennell (Craig); C. Power (Christopher); E. Widen (Elisabeth); A.I.F. Blakemore (Alexandra); R.M. Chiavacci (Rosetta); B. Feenstra (Bjarke); J. Fernandez-Banet (Julio); A.L. Hartikainen; A.J. van der Heijden (Bert); A. Iñiguez (Andrés); M. Lathrop (Mark); W.L. McArdle (Wendy); A. Mølgaard (Anne); J.P. Newnham (John); A. Palotie (Aarno); A. Pouta (Anneli); S.M. Ring (Susan); H.E. Wichmann (Heinz Erich); H. Vissing; C. DeCarli (Charles); G.H. Koppelman (Gerard); M. Melbye (Mads); H. Bisgaard; H. Hakonarson (Hakon); G.D. Smith; V.W.V. Jaddoe (Vincent); L.S. Adair (Linda); M. Atalay (Mustafa); O.S.P. Davis (Oliver S.); C. Flexeder (Claudia); L.-K. Goh; C.M.A. Haworth (Claire M.); J. Hedebrand (Johannes); A. Hinney (Anke); J.N. Hirschhorn (Joel); J.W. Holloway (John); J.J. Holst; M. Horikoshi (Momoko); T.O. Kilpeläinen (Tuomas); M. Kirin (Mirna); T.A. Lakka (Timo); L.A. Lange (Leslie); T. Lehtimäki (Terho); V. Lindi (Virpi); R. Maggi (Reedik); J.C. Murray (Jeffrey); C. Nohr (Christian); I. Ntalla (Ioanna); E. Oken (Emily); K. Panoutsopoulou (Kalliope); J. Pararajasingham (Jennifer); R.M. Salem (Rany); N. Siitonen (Niina); H.R. Taal (Rob); Y.Y. Teo (Yik Ying); E. Zeggini (Eleftheria); C. Cooper (Charles); M.W. Gillman (Matthew W.); B. Hocher (Berthold); T.A. Lakka (Timo); K.L. Mohlke (Karen); G.V. Dedoussis (George); K.K. Ong (Ken); E. Pearson (Ewan); T.S. Price (Thomas); O. Raitakari (Olli); S-M. Saw (Seang-Mei); A. Scherag (Andre); O. Simell (Olli); T.I.A. Sørensen (Thorkild); J.F. Wilson (James)

    2012-01-01

    textabstractTo identify genetic variants associated with head circumference in infancy, we performed a meta-analysis of seven genome-wide association studies (GWAS) (N = 10,768 individuals of European ancestry enrolled in pregnancy and/or birth cohorts) and followed up three lead signals in six repl

  7. Changes in waist circumference and mortality in middle-aged men and women

    DEFF Research Database (Denmark)

    Berentzen, Tina Landsvig; Jakobsen, Marianne Uhre; Halkjaer, Jytte;

    2010-01-01

    Waist circumference (WC) adjusted for body mass index (BMI) is positively associated with mortality, but the association with changes in WC is less clear. We investigated the association between changes in WC and mortality in middle-aged men and women, and evaluated the influence from concurrent...

  8. Changes in waist circumference and the incidence of diabetes in middle-aged men and women

    DEFF Research Database (Denmark)

    Berentzen, Tina Landsvig; Jakobsen, Marianne Uhre; Halkjaer, Jytte;

    2011-01-01

    Waist circumference (WC) is positively associated with diabetes, but the association with changes in WC (DWC) is less clear. We investigated the association between DWC and the subsequent risk of diabetes in middle-aged men and women, and evaluated the influence from concurrent changes in body mass...

  9. Parental reported compared with measured waist circumference in 8-year-old children

    NARCIS (Netherlands)

    Bekkers, Marga B. M.; Brunekreef, Bert; Scholtens, Salome; Kerkhof, Marjan; Smit, Henriette A.; Wijga, Alet H.

    2011-01-01

    Objective. Most epidemiological, questionnaire-based studies collect data on body weight and height but not on waist circumference (WC), although WC is suggested to be clinically more relevant. It is unknown whether valid WC data of school-aged children can be obtained by questionnaires. In this stu

  10. Independent prognostic value of preoperative serum markers CA 242, specific tissue polypeptide antigen and human chorionic gonadotrophin beta, but not of carcinoembryonic antigen or tissue polypeptide antigen in colorectal cancer.

    OpenAIRE

    Carpelan-Holmström, M; Haglund, C.; Lundin, J; Alfthan, H.; Stenman, U H; Roberts, P. J.

    1996-01-01

    The prognostic value of preoperative serum concentrations of carcinoembryonic antigen (CEA), CA 242, tissue polypeptide antigen (TPA), specific tissue polypeptide antigen (TPS) and human chorionic gonadotrophin beta (hCG beta) in 251 patients with colorectal cancer (39 Dukes' A, 98 Dukes' B, 56 Dukes' C and 58 Dukes' D) was investigated. When using the cut-off levels recommended for diagnostic purposes, there was a significantly longer overall survival in patients with low tumour marker level...

  11. Cochlear outer hair cells undergo an apical circumference remodeling constrained by the hair bundle shape.

    Science.gov (United States)

    Etournay, Raphaël; Lepelletier, Léa; Boutet de Monvel, Jacques; Michel, Vincent; Cayet, Nadège; Leibovici, Michel; Weil, Dominique; Foucher, Isabelle; Hardelin, Jean-Pierre; Petit, Christine

    2010-04-01

    Epithelial cells acquire diverse shapes relating to their different functions. This is particularly relevant for the cochlear outer hair cells (OHCs), whose apical and basolateral shapes accommodate the functioning of these cells as mechano-electrical and electromechanical transducers, respectively. We uncovered a circumferential shape transition of the apical junctional complex (AJC) of OHCs, which occurs during the early postnatal period in the mouse, prior to hearing onset. Geometric analysis of the OHC apical circumference using immunostaining of the AJC protein ZO1 and Fourier-interpolated contour detection characterizes this transition as a switch from a rounded-hexagon to a non-convex circumference delineating two lateral lobes at the neural side of the cell, with a negative curvature in between. This shape tightly correlates with the 'V'-configuration of the OHC hair bundle, the apical mechanosensitive organelle that converts sound-evoked vibrations into variations in cell membrane potential. The OHC apical circumference remodeling failed or was incomplete in all the mouse mutants affected in hair bundle morphogenesis that we tested. During the normal shape transition, myosin VIIa and myosin II (A and B isoforms) displayed polarized redistributions into and out of the developing lobes, respectively, while Shroom2 and F-actin transiently accumulated in the lobes. Defects in these redistributions were observed in the mutants, paralleling their apical circumference abnormalities. Our results point to a pivotal role for actomyosin cytoskeleton tensions in the reshaping of the OHC apical circumference. We propose that this remodeling contributes to optimize the mechanical coupling between the basal and apical poles of mature OHCs.

  12. Relationships between neonatal weight, limb lengths, skinfold thicknesses, body breadths and circumferences in an Australian cohort.

    Directory of Open Access Journals (Sweden)

    Emma Pomeroy

    Full Text Available BACKGROUND: Low birth weight has been consistently associated with adult chronic disease risk. The thrifty phenotype hypothesis assumes that reduced fetal growth impacts some organs more than others. However, it remains unclear how birth weight relates to different body components, such as circumferences, adiposity, body segment lengths and limb proportions. We hypothesized that these components vary in their relationship to birth weight. METHODS: We analysed the relationship between birth weight and detailed anthropometry in 1270 singleton live-born neonates (668 male from the Mater-University of Queensland Study of Pregnancy (Brisbane, Australia. We tested adjusted anthropometry for correlations with birth weight. We then performed stepwise multiple regression on birth weight of: body lengths, breadths and circumferences; relative limb to neck-rump proportions; or skinfold thicknesses. All analyses were adjusted for sex and gestational age, and used logged data. RESULTS: Circumferences, especially chest, were most strongly related to birth weight, while segment lengths (neck-rump, thigh, upper arm, and especially lower arm and lower leg were relatively weakly related to birth weight, and limb lengths relative to neck-rump length showed no relationship. Skinfolds accounted for 36% of birth weight variance, but adjusting for size (neck-rump, thigh and upper arm lengths, and head circumference, this decreased to 10%. There was no evidence that heavier babies had proportionally thicker skinfolds. CONCLUSIONS: Neonatal body measurements vary in their association with birth weight: head and chest circumferences showed the strongest associations while limb segment lengths did not relate strongly to birth weight. After adjusting for body size, subcutaneous fatness accounted for a smaller proportion of birth weight variance than previously reported. While heavier babies had absolutely thicker skinfolds, this was proportional to their size. Relative

  13. A cut-off low in southern South America: dynamic and thermodynamic processes Um caso de vórtice ciclonico desprendido em altos níveis no sul da América do Sul: processos dinâmicos e termodinâmicos

    Directory of Open Access Journals (Sweden)

    Alejandro Anibal Godoy

    2011-12-01

    Full Text Available The dynamic and thermodynamic processes involved in the life cycle of a cutoff low occurred in March 2007 are studied. These processes are analyzed using the vorticity and thermodynamic equations and a set of analyses generated with the BRAMS model. The main processes that explain the segregation of the subtropical part of the trough are the horizontal advection of cyclonic vorticity at high levels and warm horizontal advection at middle levels, both over the Pacific Ocean extending south to the Patagonia region, building the ridge located upstream of the trough. Increased intensity of the upper level low pressure system is mainly explained by intensification of the ridges down and upstream. The divergence effect is opposed to the horizontal advection of vorticity which explains the stagnation of the cut-off low windward of the Andes. The decay stage is dominated by warm vertical advection. Assuming the conservation of potential vorticity the analysis of parcel trajectories , allowed detecting the entrance of stratospheric air to middle levels of the lower troposphere around the cut-off low.Neste trabalho foram estudados os processos dinâmicos e termodinâmicos que envolvem o ciclo de vida de um caso de vórtice ciclônico desprendido em altos níveis, que ocorreu em março de 2007. Tais processos são analisados através dos termos das equações de vorticidade e termodinâmica usando um conjunto de análises geradas com o modelo BRAMS. Os principais processos que explicam o desprendimento da parte subtropical de um cavado são a advecção horizontal da vorticidade anticiclonica em níveis altos e a advecção horizontal de ar quente em níveis médios, ambas sobre o sul do Oceano Pacífico e estendendo-se em direção a região Patagônica, aprofundando a crista localizada corrente acima do cavado. A continuidade do aprofundamento desta crista, juntamente com a crista localizada corrente abaixo do cavado são as responsáveis da intensifica

  14. Dietary glycaemic index, glycaemic load and subsequent changes of weight and waist circumference in European men and women

    DEFF Research Database (Denmark)

    Du, H; van der A, D L; van Bakel, M M E;

    2009-01-01

    with subsequent changes of weight and waist circumference were heterogeneous across centres. Overall, with every 10-unit higher in GI, weight increased by 34 g per year (95% confidence interval (CI): -47, 115) and waist circumference increased by 0.19 cm per year (95% CI: 0.11, 0.27). With every 50-unit higher...

  15. 节段截桥局限漂浮技术治疗胸椎黄韧带骨化症%Segmental cut-off bridge and local floating technology for the treatment of ossification of ligamentum flavum in throracic spine

    Institute of Scientific and Technical Information of China (English)

    梁卫东; 张健; 盛伟斌

    2013-01-01

    Objective To explore the efficacy and safety of segmental cut-off bridge and local floating technology for the treatment of ossification of ligamentum flavum (OLF) in throracic spine.Methods Retrospective study was performed in 98 patients with thoracic OLF who under went operation.There was 56 males and 42 females with an average age of 45.8 (35-73) years.The average duration of onset was 17 (3-51) months.The main clinical symptoms were numbness and paraesthesia (n=90),lower limb weakness and walking trouble (n =46),positive pyramidal tract signs (n =33) and sphincter function obstacle (n =9).OLF was screened and diagnosed by radiology,magnetic resonance imaging (MRI),computed tomography (CT) or CT myelography (CTM).A total of 142 OLF nidus were spotted.The lesions involved single segment (n =32),double segments (n =56),three segments (n =6) and ≥ four segments (n =4).And the locations were at upper throracic segment (T1-4) (n =34),middle throracic segment (T5-8) (n =23) and lower throracic segment (T9-12) (n =42).The OLF nidus were removed by local floating technology off windowing at cephalic and caudal ends and a cut-off bridge at both sides of involved segments.Pre-and post-operative Japanese Orthopedic Association (JOA) scores and Epstein grades were recorded to evaluate the outcomes.Results The mean loss volume of blood was 320 ml and operative duration 155 min.All cases recovered independent activities.The mean follow-up period was 28 (13-48) months.The mean preoperative JOA score was 4.3 (1-8) points and the mean postoperative JOA score 9.7 (5-11) points.The recovery rate was 78.8%.According to Epstein grade,the excellent and good rate was 86.7%.Conclusion As a common cause of thoracic spinal cord compression,OLF should be operated as early as possible.Based upon clinical and imaging findings,the application of segmental cut-off bridge and local floating technology is both safe and efficacious in the treatment of OLF in throracic spine.%目的 探

  16. Waist circumference is related to low-grade inflammation in youth

    DEFF Research Database (Denmark)

    Steene-Johannessen, Jostein; Kolle, Elin; Resaland, GK;

    2010-01-01

    299 Norwegian 9- and 15-year-olds participating in the "Physical activity among Norwegian Children Study". In each sex and age group, the 10 participants with the highest waist circumference (HW) were selected (n=40) for analyses, and a random sample of 40 participants within the same groups were......, insulin, triglycerides and high density lipoprotein cholesterol. Results. HW participants had elevated levels of CRP (mean difference 1.50 mg/l; 95% confidence interval [CI] 0.33 to 2.66), PAI-1 (mean difference 13.3 ng/ml; 95% CI 4.1 to 22.5) and HGF (mean difference 0.29 ng/ml; 95% CI 0.07 to 0...... circumference. CRP, HGF and PAI-1 may be related to the adverse overall metabolic risk profile observed in these children and adolescents....

  17. Dietary ascorbic acid and subsequent change in body weight and waist circumference

    DEFF Research Database (Denmark)

    Larsen, Sofus C; Angquist, Lars; Ahluwalia, Tarun Veer Singh;

    2014-01-01

    BACKGROUND: Cross-sectional data suggests that a low level of plasma ascorbic acid positively associates with both Body Mass Index (BMI) and Waist Circumference (WC). This leads to questions about a possible relationship between dietary intake of ascorbic acid and subsequent changes in anthropome......BACKGROUND: Cross-sectional data suggests that a low level of plasma ascorbic acid positively associates with both Body Mass Index (BMI) and Waist Circumference (WC). This leads to questions about a possible relationship between dietary intake of ascorbic acid and subsequent changes...... in anthropometry, and whether such associations may depend on genetic predisposition to obesity. Hence, we examined whether dietary ascorbic acid, possibly in interaction with the genetic predisposition to a high BMI, WC or waist-hip ratio adjusted for BMI (WHR), associates with subsequent annual changes in weight...

  18. Waist Circumference: A Key Determinant of Bone Mass in University Students

    OpenAIRE

    Rapheeporn KHWANCHUEA; Sasithorn THANAPOP; Samuhasaneeto, Suchittra; Suree CHARTWAINGAM; Sirirak MUKEM

    2013-01-01

    This study aimed to assess bone mineral density (BMD) status, and to explore association between lifestyle behaviors, body mass index (BMI), waist circumference (WC) and BMD status of 217 students (55 males and 162 females) aged between 17 - 23 years studying at Walailak University. The BMD was measured at distal-third radius, and confirmed at mid-shaft tibia by Quantitative ultrasound analysis. BMI and WC were recorded to assess obesity, and lifestyle behaviors were evaluated using a questio...

  19. Maternal factors influencing infant abdominal circumference and birth weight - a population based study

    DEFF Research Database (Denmark)

    Tanvig, Mette

    2012-01-01

    Objective: 1) To examine the impact of maternal pregestational Body Mass Index (BMI) and smoking on infant abdominal circumference (AC) and birth weight. 2) To define reference curves for AC and birth weight in offspring of healthy, non-smoking, normal weight women. Design: Population-based study...... outcome measures: Birth AC and weight in relation to pregestational maternal BMI, maternal smoking and medical conditions (any). Results: Infant AC and birth weight increased significantly (p

  20. Waist Circumference and Objectively Measured Sedentary Behavior in Rural School Adolescents

    OpenAIRE

    Machado-Rodrigues, Aristides M.; COELHO E SILVA, MANUEL J.; RIBEIRO, LUÍS P.; FERNANDES, ROMULO; Mota, Jorge; Malina, Robert M.

    2016-01-01

    BACKGROUND: Research on relationships between lifestyle behaviors and adiposity in school youth is potentially importante for identifying subgroups at risk. This study evaluates the associations between waist circumference (WC) and objective measures of sedentary behavior (SB) in a sample of rural school adolescents. METHODS: The sample included 254 students (114 boys, 140 girls), 13-16 years of age, from rural regions of the Portuguese midlands.Height, weight, andWCwere measured. Cardiore...

  1. Adipose tissue trans fatty acids and changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Hansen, C.P.; Berentzen, T.L.; Østergaard, J.N.;

    Previous studies have suggested that intake of trans fatty acids (TFA) may play a role in the development of obesity. For fatty acids not synthesized endogenously in humans, such as TFA, the proportions in adipose tissue tend to correlate well with the habitual dietary intake. Biomarkers may...... provide a more accurate measure of habitual TFA intake than dietary questionnaires. Our objective was to investigate the associations between specific TFA in adipose tissue and subsequent changes in body weight and waist circumference (WC)....

  2. How well do we know the circumference of a storage ring?

    Energy Technology Data Exchange (ETDEWEB)

    Beckmann, M. [DESY (Germany); Ziemann, V., E-mail: volker.ziemann@physics.uu.se [Uppsala University (Sweden)

    2015-01-21

    High-precision nuclear physics experiments in storage rings require precise knowledge of the beam energy. In the absence of electron cooling, which provides this information, one can use the frequency of the radio-frequency system in conjunction with knowledge of the circumference of the ring. We investigate to which precision the latter can be determined in the presence of magnet misalignment and orbit correction.

  3. How well do we know the circumference of a storage ring?

    Science.gov (United States)

    Beckmann, M.; Ziemann, V.

    2015-01-01

    High-precision nuclear physics experiments in storage rings require precise knowledge of the beam energy. In the absence of electron cooling, which provides this information, one can use the frequency of the radio-frequency system in conjunction with knowledge of the circumference of the ring. We investigate to which precision the latter can be determined in the presence of magnet misalignment and orbit correction.

  4. Neck circumference as a predictor of obesity and overweight in rural central India

    OpenAIRE

    Sunil Kumar; Apurva Gupta; Shraddha Jain

    2012-01-01

    Background: Neck circumference is a simple screening measure for identifying overweight and obese patients. The present study is planned to determine if NC is a valid measure of obesity in rural Indian population. Aims: To determine whether a single measure of NC might be used to identify overweight patients and to define NC cutoff levels for overweight and obesity according to existing BMI cutoff levels. Settings and Design: A prospective cross-sectional study from rural medical ...

  5. Assessing Factors Related to Waist Circumference and Obesity: Application of a Latent Variable Model

    Directory of Open Access Journals (Sweden)

    Sahar Dalvand

    2015-01-01

    Full Text Available Background. Because the use of BMI (Body Mass Index alone as a measure of adiposity has been criticized, in the present study our aim was to fit a latent variable model to simultaneously examine the factors that affect waist circumference (continuous outcome and obesity (binary outcome among Iranian adults. Methods. Data included 18,990 Iranian individuals aged 20–65 years that are derived from the third National Survey of Noncommunicable Diseases Risk Factors in Iran. Using latent variable model, we estimated the relation of two correlated responses (waist circumference and obesity with independent variables including age, gender, PR (Place of Residence, PA (physical activity, smoking status, SBP (Systolic Blood Pressure, DBP (Diastolic Blood Pressure, CHOL (cholesterol, FBG (Fasting Blood Glucose, diabetes, and FHD (family history of diabetes. Results. All variables were related to both obesity and waist circumference (WC. Older age, female sex, being an urban resident, physical inactivity, nonsmoking, hypertension, hypercholesterolemia, hyperglycemia, diabetes, and having family history of diabetes were significant risk factors that increased WC and obesity. Conclusions. Findings from this study of Iranian adult settings offer more insights into factors associated with high WC and high prevalence of obesity in this population.

  6. Heavier smoking may lead to a relative increase in waist circumference

    DEFF Research Database (Denmark)

    Morris, Richard W; Taylor, Amy E; Fluharty, Meg E;

    2015-01-01

    was lower for waist circumference by -0.40% (95% CI -0.57% to -0.22%), with effects on hip circumference, waist-hip ratio and body mass index (BMI) being -0.31% (95% CI -0.42% to -0.19), -0.08% (-0.19% to 0.03%) and -0.74% (-0.96% to -0.51%), respectively. In contrast, among never-smokers, these effects...... in Tobacco and Alcohol (CARTA). PRIMARY OUTCOME MEASURES: Waist and hip circumferences, and waist-hip ratio. RESULTS: The data included up to 66,809 never-smokers, 43,009 former smokers and 38,913 current daily cigarette smokers. Among current smokers, for each extra minor allele, the geometric mean...... were higher by 0.23% (0.09% to 0.36%), 0.17% (0.08% to 0.26%), 0.07% (-0.01% to 0.15%) and 0.35% (0.18% to 0.52%), respectively. When adjusting the three central adiposity measures for BMI, the effects among current smokers changed direction and were higher by 0.14% (0.05% to 0.22%) for waist...

  7.  Trends in Waist Circumference and Central Obesity in Adults, Northern Iran

    Directory of Open Access Journals (Sweden)

    Ebrahim Tazik

    2012-01-01

    Full Text Available  Objectives: The main aim of this study is to determine the centralobesity trends during the period from 2006 to 2010 among 15-65years old people in Northern Iran.Methods: This was a population-based cross-sectional studyconducted on 6466 subjects who had been chosen by a multistage cluster random sampling within five steps. The subjects wererandomly chosen from 325 clusters and each cluster included 20cases. Central obesity was defined as waist circumference ≥102 cmand ≥88 cm in men and women, respectively.Results: Compared to 2010, the mean waist circumference in2006 changed from 87.2 cm to 88.1 cm in men (p=0.237, andfrom 90.3 cm to 88.6 cm in women (p=0.045. The comparisonbetween 2006 and 2010 revealed that the prevalence of centralobesity slightly decreased, 6.8�0and 2.4�0in urban women andmen, respectively. Generally, the mean of waist circumferencesignificantly decreased in urban women (by 0.069 cm in each year;p=0.020; however, the decrease of waist circumference in urbanmen was not significant (0.006 cm decrease each year; p=0.915.Conclusion: The prevalence of central obesity declined amongboth males and females in the urban area; however, there wasan attenuated increasing trend in the rural area. The disparity oftrends between the two regions should be considered for furtherstudy.

  8. Relationship between Waist Circumference and Elevation of Carotid Intima-media Thickness in Newly-diagnosed Diabetic Patients

    Institute of Scientific and Technical Information of China (English)

    ZHANG Lei; JIA Wei Ping; SHEN Yun; ZHOU Jian; PAN Jie Min; YU Hao Yong; CHEN Hai Bing; LI Qing; LI Ming; BAO Yu Qian

    2014-01-01

    Objective Waist circumference, as a brief indicator of visceral obesity, is associated with multi-metabolic disorders and cardiovascular diseases. The present study was aimed to find out the relationship between waist circumference and carotid intima media thickness (C-IMT), as well as the best waist circumference cutoff for identifying C-IMT elevation in Chinese male patients with newly-diagnosed diabetes. Methods Five hundred and seventy-eight patients from Department of Endocrinology and Metabolism in Shanghai Sixth People’s Hospital affiliated to Shanghai Jiao Tong University were enrolled. Both physical examination (for measurement of waist circumference) and carotid ultrasonography (for measurement of C-IMT) were performed. Results After grouping according to the quartiles of C-IMT, the waist circumference increased across all its quartiles. The waist circumference in 3rd and 4th quartiles (90.7±9.8 cm and 90.8±9.6 cm) was significant higher than in 1st and 2nd quartiles (P Conclusion Among newly-diagnosed diabetic male patients, waist circumference over 90 cm not only reflects sub-clinical atherosclerosis in early stage, but also predicts the progression of atherosclerosis.

  9. Predictive Value of IL-8 for Sepsis and Severe Infections after Burn Injury - A Clinical Study

    Science.gov (United States)

    Kraft, Robert; Herndon, David N; Finnerty, Celeste C; Cox, Robert A; Song, Juquan; Jeschke, Marc G

    2014-01-01

    The inflammatory response induced by burn injury contributes to increased incidence of infections, sepsis, organ failure, and mortality. Thus, monitoring post-burn inflammation is of paramount importance but so far there are no reliable biomarkers available to monitor and/or predict infectious complications after burn. As IL-8 is a major mediator for inflammatory responses, the aim of our study was to determine whether IL-8 expression can be used to predict post-burn sepsis, infections, and mortality other outcomes post-burn. Plasma cytokines, acute phase proteins, constitutive proteins, and hormones were analyzed during the first 60 days post injury from 468 pediatric burn patients. Demographics and clinical outcome variables (length of stay, infection, sepsis, multiorgan failure (MOF), and mortality were recorded. A cut-off level for IL-8 was determined using receiver operating characteristic (ROC) analysis. Statistical significance is set at (p<0.05). ROC analysis identified a cut-off level of 234 pg/ml for IL-8 for survival. Patients were grouped according to their average IL-8 levels relative to this cut off and stratified into high (H) (n=133) and low (L) (n=335) groups. In the L group, regression analysis revealed a significant predictive value of IL-8 to percent of total body surface area (TBSA) burned and incidence of MOF (p<0.001). In the H group IL-8 levels were able to predict sepsis (p<0.002). In the H group, elevated IL-8 was associated with increased inflammatory and acute phase responses compared to the L group (p<0.05). High levels of IL-8 correlated with increased MOF, sepsis, and mortality. These data suggest that serum levels of IL-8 may be a valid biomarker for monitoring sepsis, infections, and mortality in burn patients. PMID:25514427

  10. Trabecular-iris circumference volume in open angle eyes using swept-source fourier domain anterior segment optical coherence tomography.

    Science.gov (United States)

    Rigi, Mohammed; Blieden, Lauren S; Nguyen, Donna; Chuang, Alice Z; Baker, Laura A; Bell, Nicholas P; Lee, David A; Mankiewicz, Kimberly A; Feldman, Robert M

    2014-01-01

    Purpose. To introduce a new anterior segment optical coherence tomography parameter, trabecular-iris circumference volume (TICV), which measures the integrated volume of the peripheral angle, and establish a reference range in normal, open angle eyes. Methods. One eye of each participant with open angles and a normal anterior segment was imaged using 3D mode by the CASIA SS-1000 (Tomey, Nagoya, Japan). Trabecular-iris space area (TISA) and TICV at 500 and 750 µm were calculated. Analysis of covariance was performed to examine the effect of age and its interaction with spherical equivalent. Results. The study included 100 participants with a mean age of 50 (±15) years (range 20-79). TICV showed a normal distribution with a mean (±SD) value of 4.75 µL (±2.30) for TICV500 and a mean (±SD) value of 8.90 µL (±3.88) for TICV750. Overall, TICV showed an age-related reduction (P = 0.035). In addition, angle volume increased with increased myopia for all age groups, except for those older than 65 years. Conclusions. This study introduces a new parameter to measure peripheral angle volume, TICV, with age-adjusted normal ranges for open angle eyes. Further investigation is warranted to determine the clinical utility of this new parameter. PMID:25210623

  11. Trabecular-Iris Circumference Volume in Open Angle Eyes Using Swept-Source Fourier Domain Anterior Segment Optical Coherence Tomography

    Directory of Open Access Journals (Sweden)

    Mohammed Rigi

    2014-01-01

    Full Text Available Purpose. To introduce a new anterior segment optical coherence tomography parameter, trabecular-iris circumference volume (TICV, which measures the integrated volume of the peripheral angle, and establish a reference range in normal, open angle eyes. Methods. One eye of each participant with open angles and a normal anterior segment was imaged using 3D mode by the CASIA SS-1000 (Tomey, Nagoya, Japan. Trabecular-iris space area (TISA and TICV at 500 and 750 µm were calculated. Analysis of covariance was performed to examine the effect of age and its interaction with spherical equivalent. Results. The study included 100 participants with a mean age of 50 (±15 years (range 20–79. TICV showed a normal distribution with a mean (±SD value of 4.75 µL (±2.30 for TICV500 and a mean (±SD value of 8.90 µL (±3.88 for TICV750. Overall, TICV showed an age-related reduction (P=0.035. In addition, angle volume increased with increased myopia for all age groups, except for those older than 65 years. Conclusions. This study introduces a new parameter to measure peripheral angle volume, TICV, with age-adjusted normal ranges for open angle eyes. Further investigation is warranted to determine the clinical utility of this new parameter.

  12. Associations of built food environment with body mass index and waist circumference among youth with diabetes

    Directory of Open Access Journals (Sweden)

    Lamichhane Archana P

    2012-06-01

    Full Text Available Abstract Background Youth with diabetes are at increased risk for obesity and cardiovascular disease complications. However, less is known about the influence of built food environment on health outcomes in this population. The aim of this study was to explore the associations of accessibility and availability of supermarkets and fast food outlets with Body Mass Index (BMI z-score and waist circumference among youth with diabetes. Methods Information on residential location and adiposity measures (BMI z-score and waist circumference for 845 youths with diabetes residing in South Carolina was obtained from the South Carolina site of the SEARCH for Diabetes in Youth study. Food outlets data obtained from the South Carolina Department of Health and Environmental Control and InfoUSA were merged based on names and addresses of the outlets. The comprehensive data on franchised supermarket and fast food outlets was then used to construct three accessibility and availability measures around each youth’s residence. Results Increased number and density of chain supermarkets around residence location were associated with lower BMI z-score and waist circumference among youth with diabetes. For instance, for a female child of 10 years of age with height of 54.2 inches and weight of 70.4 pounds, lower supermarket density around residence location was associated with about 2.8–3.2 pounds higher weight, when compared to female child of same age, height and weight with highest supermarket density around residence location. Similarly, lower supermarket density around residence location was associated with a 3.5–3.7 centimeter higher waist circumference, when compared to residence location with the highest supermarket density. The associations of number and density of chain fast food outlets with adiposity measures, however, were not significant. No significant associations were observed between distance to the nearest supermarket and adiposity measures

  13. The predictive value of first day bilirubin levels for early discharged newborns.

    Directory of Open Access Journals (Sweden)

    MUSTAFA TOLGA ÜNSÜR

    2015-09-01

    Full Text Available Objective: Early discharge of newborns is essential because of social, economic an medical reasons in our area, but it increases readmission rates especially for hyperbilirubinemia. Hence, predicting the high risk neonates for subsequent hyperbilirubinemia is required. This study was designed to investigate which level of total serum bilirubin (TSB at the first day could be used to predict hyperbilirubinemia .Methods: The venous blood samples obtained from 300 newborns at post-partum 24±6 hours for blood group, direct coomb’s, TSB and direct bilirubin level (DBL. These newborns were followed up during 5- day and TSB and DBLwere detected in 90 newborns with jaundice again according to Kramer dermal zones at 120±6 hours of age.Results: In 23.3% of 90 newborns phototherapy was needed. The cut off value of TSB at the first day to define newborns at high risk for subsequent hyperbilirubinemia was 6.50 mg/dl with positive predictive value 19.75%, negative predictive value 97.72%. At that point sensitivity was 76.19%, specificity was 76.70%.Conclusion: The cut-off point of 6.5 mg/dl of TSB at the first day might be used to predict subsequent hyperbilirubinemia risk at healthy, full-term early discharged newborns as the test is economic and available in all healthcare units.

  14. Screening for feeding disorders. Creating critical values using the behavioural pediatrics feeding assessment scale.

    Science.gov (United States)

    Dovey, Terence M; Jordan, Caroline; Aldridge, Victoria K; Martin, Clarissa I

    2013-10-01

    The aim of the current study was to discriminate between clinical and non-clinical samples on the Behavioural Pediatrics Feeding Assessment Scale (BPFAS). The objective was to present a cut-off value, that was derived statistically, which could be used to screen for feeding disorders. A sample of five hundred and seventy-three families with a target child ranging in age from 20 to 85 months took part in the current study. Sixty-four children had a known diagnosis of a feeding disorder and were embedded into a typically developing sample of families that had not sought professional intervention. All families completed the BPFAS in order to provide a known database to measure discriminative statistics. The Receiver Operating Characteristic (ROC) analysis indicated that the cut off value for the BPFAS was a Child Frequency score of 61 and a Child Problem score of six. This offered an 87% accuracy rate at these values. The current study offered definitive evidence that the BPFAS was accurate (both sensitive and specific) to determine differences between clinical and non-clinical samples in the United Kingdom. It is therefore advocated that BPFAS should be adopted in future studies exploring the impact of feeding disorders and problems in both clinical and research settings. PMID:23742944

  15. Reliability of knee joint range of motion and circumference measurements after total knee arthroplasty: does tester experience matter?

    DEFF Research Database (Denmark)

    Jakobsen, Thomas Linding; Christensen, Malene; Christensen, Stine Sommer;

    2010-01-01

    BACKGROUND AND PURPOSE: Two of the most utilized outcome measures to assess knee joint range of motion (ROM) and intra-articular effusion are goniometry and circumference, respectively. Neither goniometry nor circumference of the knee joint have been examined for both intra-tester and inter......-tester in patients with total knee arthroplasty (TKA). The purpose of this study was to determine the intra-tester and inter-tester reliability of active and passive knee joint ROM and circumference in patients with TKA when administered by physiotherapists (testers) with different clinical experience. METHOD......: The design was an intra-tester, inter-tester and intra-day reliability study. Nineteen outpatients (10 females) having received a TKA were examined by an inexperienced and an experienced physiotherapist. Following a standardized protocol, active and passive knee joint ROM and circumference measurements were...

  16. The Development Situation Investigation on the Waist Circumference and the Hip Circumference in Children and Adolescents of Qingdao%青岛市儿童青少年腰围臀围发育情况调查

    Institute of Scientific and Technical Information of China (English)

    安乾; 陈暕; 高希宝; 于维森

    2015-01-01

    目的:掌握青岛市儿童青少年腰围和臀围发育情况,为制定全国标准提供参考。方法利用2014年全国学生体质健康调查研究所获得的腰围、臀围数据进行统计学分析。结果7~18岁儿童青少年腰围、臀围总的趋势是随年龄增长而增长;14岁以前,腰臀比随年龄的增长而增长,14岁以后趋于平稳。城市儿童青少年腰围、臀围高于乡村。不同体重状况儿童青少年的腰围、臀围发育水平均为肥胖组>超重组>体重正常组。结论儿童期的腰围和腰臀成为预测成人期肥胖及其相关健康危险的重要指标,青岛市儿童青少年腰围、臀围监测结果,可为制定全国统一的青少年腰围臀围标准提供参考,也为预防儿童肥胖和慢性病提供科学依据。%Objective To grasp the developmental state of the waist circumference and the hip circumference in children and ad -olescents of Qingdao ,so as to provide a reference for the national standard .Methods The statistical analysis was used to analyze the data of the waist circumference and the hip circumference which were obtained from the national student physical health research in 2014.Results The trend of the waist circumference and the hip circumference increased with the age in children and adolescents aged 7~18 years old ,and the same as the waist-hip ratio( WHR) before 14 years old,but stabilized after 14 years old.The waist circumference and the hip circumfer-ence in urban children were higher than the rural children'.The developmental level of the waist circumference and the hip circumference in children with different weight status was:obesity group>overweight group >normal group .Conclusion The waist circumference and the hip circumference have become important indicators to predict adult obesity and the related health hazards .The monitoring results of the waist circumference and the hip circumference in children of Qingdao provide not only a

  17. Interaction between genetic predisposition to obesity and dietary calcium in relation to subsequent change in body weight and waist circumference

    DEFF Research Database (Denmark)

    Larsen, Sofus C; Angquist, Lars; Ahluwalia, Tarun Veer Singh;

    2014-01-01

    Studies indicate an effect of dietary calcium on change in body weight (BW) and waist circumference (WC), but the results are inconsistent. Furthermore, a relation could depend on genetic predisposition to obesity.......Studies indicate an effect of dietary calcium on change in body weight (BW) and waist circumference (WC), but the results are inconsistent. Furthermore, a relation could depend on genetic predisposition to obesity....

  18. Prevalence of Abdominal Obesity in Spanish Children and Adolescents. Do We Need Waist Circumference Measurements in Pediatric Practice?

    OpenAIRE

    Helmut Schröder; Lourdes Ribas; Corinna Koebnick; Anna Funtikova; Gomez, Santiago F; Montserat Fíto; Carmen Perez-Rodrigo; Lluis Serra-Majem

    2014-01-01

    BACKGROUND: Evidence indicates that central adiposity has increased to a higher degree than general adiposity in children and adolescents in recent decades. However, waist circumference is not a routine measurement in clinical practice. OBJECTIVE: This study aimed to determine the prevalence of abdominal obesity based on waist circumferences (WC) and waist to height ratio (WHtR) in Spanish children and adolescents aged 6 to 17 years. Further, the prevalence of abdominal obesity (AO) among nor...

  19. Comparison between body mass index, triceps skin fold thickness and mid-arm muscle circumference in Saudi adolescents

    International Nuclear Information System (INIS)

    Adolescence is an important period in an individual's life. Overweight and obesity are fraught with several health problems even late in life. The objective of this study was estimate the overweight, obesity, body fat and muscle content of Saudi adolescents as compared to a recognized reference population. Data were collected from a sample of Saudi adolescents in Jeddah from 42 boys' and 42 girls' school during the month of April 2000. Data collection was done by personal interviews to collect sociodemograhic factors and by direct measurement of weight, height, triceps skin fold thickness (TSF) and mid-arm circumference (MAC). The 50th, 85th and 95th percentiles(P50, P85 and P95) for body mass index (BMI) and triceps skin fold thickness (TSF) were taken, then the 50th, 90th, and 95th percentiles (P50, P90 and P95) for the mid-arm muscle circumference (MAMC) were calculated. These measurements were compared with corresponding values of the National Health and Nutrition Examination Survey I (NHANES I). The P85 and P95 for the BMI and TSF were higher for Saudi adolescents than the NHANES I and the difference was wider for P95. Conversely, there was a lower MAMC at P90 and P95thane the NHANES I reference population curves. The lower MAMC curves were less marked in girls than in boys. On the other hand Saudi boys and girls showed on average similar body mass index indicated by MBI at P50, which was misleading, since those adolescents showing similar body mass index had more fatness than of average reference population indicated by TSF and P50, and less muscularity on average than reference population indicated MAMC at P-50. Overweight and obesity with increased body fat content and decreased body muscle content appear to be widespread among Saudi adolescents even among those adolescents showing average body index. Public health interventions are required to improve quality of food, encourage physical, activity and exercise, as well as correct the perception of

  20. Determination of Best Cut off Value of Activity Count in Diagnosis Exercise Intensity of Adolescents by Receiver Operating Characteristic (ROC) Curve Analysis%应用ROC曲线确定活动计数在青春期少年运动强度诊断中的最佳临界值

    Institute of Scientific and Technical Information of China (English)

    朱琳; 陈佩杰

    2012-01-01

    研究目的:运用ROC曲线确定青春期少年不同运动强度的活动计数最佳临界值,为准确评估日常体力活动水平提供支撑.研究方法:通过便携式气体代谢分析仪(Cosmed K4b2)和三轴运动传感器(ActiGraph GT3X)同步对80名11~14岁健康中学生(男性40名,女性40名)进行静息和8种常见体力活动的测试,通过ROC曲线下面积确定活动计数对于区分小、中、大活动强度的诊断能力;通过最大约登指数确定小、中、大运动强度的活动计数最佳临界点.结果:垂直轴在各种活动项目中占主要优势,ACxis1、VM2和VM3的变化趋势基本一致;ROC曲线可建立不同活动强度的ACxis1、VM2和VM3的活动计数最佳临界点(AUC∈[0.708,0.890],P<0.001);3 METs、6METs和9METs所对应的活动计数最佳临界点ACxis1为2 151 counts/min、3 761 counts/min、3 783 counts/min;VM2为4 935 counts/min、6 009 counts/min、6 169 counts/min; VM3为9 600 counts/min、9 900 counts/min、10 296counts/min.结论:ACxis1、VM2和VM3可有效反映人体运动状态,ACxis1、VM2和VM3的最佳临界值可有效诊断青春期少年的运动强度,小强度活动的活动计数最佳临界值为ACxis1<2 151 counts/min、VM2<3 761 counts/min、VM3<3 783 counts/min;中等强度最佳临界值为2 151 counts/min≤ACxis1<4 935 counts/min,3 761 counts/min≤VM2<6 009 counts/min、3 783 counts/min≤VM3<6 169 counts/min;大强度活动的最佳临界值为4 935 counts/min≤ACxis1<9 600 counts/min、6 009 counts/min≤VM2<9 900 counts/min、6 169 counts/min≤VM3<10 296 counts/min;剧烈运动的最佳临界值为ACxis1≥9 600 counts/min、VM2≥9 900counts/min、VM3≥10 296 counts/min.

  1. Association between Mediterranean and Nordic diet scores and changes in weight and waist circumference

    DEFF Research Database (Denmark)

    Roswall, Nina; Ängquist, Lars; Ahluwalia, Tarun Veer Singh;

    2014-01-01

    BACKGROUND: Several studies have shown that adherence to the Mediterranean Diet measured by using the Mediterranean diet score (MDS) is associated with lower obesity risk. The newly proposed Nordic Diet could hold similar beneficial effects. Because of the increasing focus on the interaction...... between diet and genetic predisposition to adiposity, studies should consider both diet and genetics. OBJECTIVE: We investigated whether FTO rs9939609 and TCF7L2 rs7903146 modified the association between the MDS and Nordic diet score (NDS) and changes in weight (Δweight), waist circumference (ΔWC...

  2. Intake of ruminant trans fatty acids and changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Hansen, C P; Berentzen, T L; Halkjær, Jytte;

    2012-01-01

    Follow-up studies have suggested that total intake of trans fatty acids (TFA) is a risk factor for gain in body weight and waist circumference (WC). However, in a cross-sectional study individual TFA isomers in adipose tissue had divergent associations with anthropometry. Our objective...... was to investigate the association between intake of TFA from ruminant dairy and meat products and subsequent changes in weight and WC. Furthermore, potential effect modification by sex, age, body mass index and WC at baseline was investigated....

  3. Trends in Waist Circumference and Central Obesity in Adults, Northern Iran

    OpenAIRE

    Ebrahim Tazik; Abdolhamid Angizeh; Pooneh Moharloei; Samieh Banihashem; Mehdi Sedaghat; Gholamreza Veghari; Abbas Moghaddami

    2012-01-01

     Objectives: The main aim of this study is to determine the centralobesity trends during the period from 2006 to 2010 among 15-65years old people in Northern Iran.Methods: This was a population-based cross-sectional studyconducted on 6466 subjects who had been chosen by a multistage cluster random sampling within five steps. The subjects wererandomly chosen from 325 clusters and each cluster included 20cases. Central obesity was defined as waist circumference ≥102 cmand ≥88 cm in men and wome...

  4. Evaluation of marginal circumference and marginal thickness changes in precrimped stainless steel crowns, after recrimping

    OpenAIRE

    Afshar H; Mozafari Kojidi M

    2006-01-01

    Background and Aim: The need for recrimping precrimped stainless steel crowns by the dentist in clinic is controversial. This study aimed to evaluate the rate of marginal circumference and marginal thickness change of precrimped stainless steel crowns after recrimping. Materials and Methods: In this experimental study, 30 primary photos were taken from margins of 30 S.S.Cs (3M, Ni-Cr) related to tooth 85 with a digital camera fixed at a determined distance. Margins of crowns were crimped by 1...

  5. Revised cutoff values of ALT and HBV DNA level can better differentiate HBeAg (- chronic inactive HBV patients from active carriers

    Directory of Open Access Journals (Sweden)

    Gull Sana

    2011-02-01

    Full Text Available Abstract Background and Aims ELISA is still used as primary test for diagnosis HBV disease. However, ELISA-positive patients were marked as HBV inactive after confirmation with PCR and vice versa. Our aim was to assess the performance of new cut-off value of ALT, HBV DNA load and significance of AST as screening tool for HBeAg (- chronic active or inactive patients in Pakistani population. Materials and methods In a cross-sectional, cohort study, 567 HBeAg (- patients followed for one year were selected. Patients with persistent elevated ALT than normal and HBV DNA ≥ 100,000 copies/mL were taken as active chronic. Diagnostic values for ALT, AST and HBV DNA load in HBV HBeAg (- chronic active and inactive patients compared using receiver operation characteristic (ROC curves. Results Of 567 HBeAg (- patients, 228 were classified as chronic inactive and 339 as active. HBV infection was dominant in male. Serum ALT, AST and HBV DNA levels showed significant and high AUROC to differentiate chronic HBeAg (- inactive patients from active. AUROC for Serum ALT, AST and HBV DNA were observed 0.997, 0.969 and 1.000, respectively. For revised cut off value for ALT (30 IU/L for male and 19 IU/L for female and HBV DNA load ≥100,000 copies/mL, a PPV of 97%, NPV of 94%, a sensitivity of 98%, and a specificity of 92% was observed to discriminate active carriers from inactive carriers. We also observed 93.5% specificity, 83.1% sensitivity, 82% PPV and 89.5% NPV for AST ≤20 IU/L to differentiate inactive carriers from active ones in our study group. Conclusions Revised cut off value of ALT and NIH derived HBV DNA value can better discriminate between HBeAg (- chronic active and inactive patients.

  6. Dipolar quantization and the infinite circumference limit of two-dimensional conformal field theories

    CERN Document Server

    Ishibashi, Nobuyuki

    2016-01-01

    Elaborating on our previous presentation, where the term {\\it dipolar quantization} was introduced, we argue here that adopting $L_0-(L_1+L_{-1})/2+{\\bar L}_0-({\\bar L}_1+{\\bar L}_{-1})/2$ as the Hamiltonian instead of $L_0+{\\bar L}_0$ yields an infinite circumference limit in two-dimensional conformal field theory. The new Hamiltonian leads to dipolar quantization instead of radial quantization. As a result, the new theory exhibits a continuous and strongly degenerated spectrum in addition to the Virasoro algebra with a continuous index. Its Hilbert space exhibits a different inner product than that obtained in the original theory. The idiosyncrasy of this particular Hamiltonian is its relation to the so-called sine-square deformation, which is found in the study of a certain class of quantum statistical systems. The appearance of the infinite circumference explains why the vacuum states of sine-square deformed systems are coincident with those of the respective closed-boundary systems.

  7. Fiber optic sensor for the measurement of the respiratory chest circumference changes

    Science.gov (United States)

    Babchenko, Anatoly; Khanokh, Boris; Shomer, Yoseph; Nitzan, Meir

    1999-04-01

    A fiber optic sensor for the measurement of the respiratory depth has been developed. The sensor is composed of a bent optic fiber which is connected to an elastic section of a chest belt, so that its radius of curvature changes during respiration due to the respiratory chest circumference changes (RCCC). The measurement of light transmission through the bent fiber provides information on its curvature changes, since a higher fraction of light escapes through the core-cladding surface of a fiber bent to a lower radius of curvature. The sensor can quantitatively measure the RCCC, though in relative terms, and it is sensitive enough to detect the changes of the chest circumference due to the heart belt. Measurements of the RCCC were simultaneously performed with photoplethysmography (PPG)--the measurement by light absorption of the cardiac induced blood volume changes in the tissue--and significant correlation was found between the RCCC and some parameters of PPG signal. The fiber optic respiratory depth sensor enables the quantitative assessment of the respiratory induced changes in the cardiovascular parameters.

  8. Food and drinking patterns as predictors of 6-year BMI-adjusted changes in waist circumference

    DEFF Research Database (Denmark)

    Halkjær, Jytte; Sørensen, Thorkild I A; Tjønneland, Anne;

    2004-01-01

    Few studies have investigated the prospective associations between diet or drinking patterns and abdominal obesity; we therefore investigated whether food and beverage groups or patterns predicted 6-year changes in waist circumference (WC) and whether these associations were independent of concur......Few studies have investigated the prospective associations between diet or drinking patterns and abdominal obesity; we therefore investigated whether food and beverage groups or patterns predicted 6-year changes in waist circumference (WC) and whether these associations were independent...... of concurrent changes in BMI as a measure of general obesity. The subjects were 2300 middle-aged men and women with repeated measurements of dietary intake, BMI and WC from 1982 to 1993. Intakes from ten food groups and from coffee, tea, wine, beer and spirits were assessed; gender-specific food factors were......, but the associations were weakened, especially for women, after adjustment for BMI changes. None of the food factors was associated with WC changes. Based on the present study, we conclude that very few food items and no food patterns seem to predict changes in WC, whereas high intakes of beer and spirits among women...

  9. The survey of School Circumference Hygiene in Area 2 Arak City and that’s

    Directory of Open Access Journals (Sweden)

    Mohammad Ganji

    2010-01-01

    Full Text Available AbstractThe main goal of present research study condition of school circumference hygiene and that’s conformitywith national standard like: security, workshop and laberatory, buffet, enclosure, w.c, w.b,…the methodresearch is description and cross sectional that to register category data with diverts observation and censusand complete enumeration. There are many research results:- 58.33 percent of population is fit for girls' school and 41.66 percent is fit for son.53.44 percent is highschool and 46.55 percent is middle school.12.12 percent is one time school and 87.87 percent is two timesschool.- According to dimensions and indicators school circumference hygiene standard, average conformity in thisresearch is 45.04 percent and arrangement that conformity from up to down average conformity is:- The condition of repulse of sewage and rubbish is 100 percent.- The condition of enclosure is 55.38.- The condition of workshop and laboratory is 43.95- The condition of W.C, W.B and drinking cup is 38.43- The condition of security is 37.37- The condition of class is 37.13- The condition of buffet is 3.04

  10. Neck Circumference in Overweight/Obese Subjects who Visited the Binjai Supermall in Indonesia

    Science.gov (United States)

    Lindarto, Dharma; Shierly; Syafril, Santi

    2016-01-01

    BACKGROUND: Neck circumference (NC) is a simple screening measure for identifying overweight and obesity, it reflects upper-body fat distribution and central obesity. AIM: To determine whether a single measure of NC might be used to identify overweight/obesity. MATERIAL AND METHODS: An observational, analytical, cross-sectional study was done. The subjects consisted of all consecutive subjects who visited Binjai Supermall (North Sumatera Province, Indonesia) between 23rd and 29th September 2015 and agreed to participate in the study. NC, weight, height, body mass index (BMI), and waist circumference (WC) were measured. Overweight and obesity were defined as BMIs of 23.0–24.9 and ≥ 25 kg/m2, respectively. RESULTS: In total, 1554 subjects participated. Of these, 1238 (79.7%) were overweight/obese. NC correlated significantly with weight, height, BMI, and WC. Receiver operating characteristic (ROC) analysis showed that for all men and women, the area under the curve of overweight/obesity for NC was 0.83 and 0.79, respectively. The best NC cutoff points for males and females that indicated overweight/obesity were ≥ 37 cm (sensitivity, 78.3% and specificity, 75.5%) and ≥ 33.5 cm (sensitivity, 76.6% and specificity, 66.7%), respectively. CONCLUSION: The NC cutoffs that were identified may be useful for screening for overweight/obesity and related co-morbidities.

  11. The Significance of Macrocephaly or Enlarging Head Circumference in Infants With the Triad

    Science.gov (United States)

    Miller, David; Barnes, Patrick; Miller, Marvin

    2015-01-01

    Abstract Infants with the triad (neurologic dysfunction, subdural hematoma [SDH], and retinal hemorrhage) are often diagnosed as victims of shaken baby syndrome. Medical conditions/predisposing factors to developing the triad are often dismissed: short falls, birth-related SDH that enlarges, macrocephaly, sinus/cortical vein thrombosis, and others. Six infants with the triad are described in which child abuse was diagnosed, but parents denied wrongdoing. All 6 had either macrocephaly or enlarging head circumference, which suggested medical explanations. Three infants incurred short falls, 1 had a difficult delivery in which there was likely a rebleed of a birth-related SDH, 1 had a spontaneous SDH associated with increased extra-axial fluid spaces, and 1 had a sinus thrombosis. Following legal proceedings, all 6 infants were returned to their parents, and there has been no child maltreatment in follow-up, suggesting child abuse never happened. The results indicate that alternative medical explanations for causing the triad should be considered and that macrocephaly or an enlarging head circumference raises the possibility of a medical explanation. PMID:25893912

  12. Persistently High Hip Circumference after Bariatric Surgery Is a Major Hurdle to Successful Hip Replacement

    Directory of Open Access Journals (Sweden)

    Menachem M. Meller

    2014-01-01

    Full Text Available The prevalence of class III obesity (BMI≥40 kg/m2 in black women is 18%. As class III obesity leads to hip joint deterioration, black women frequently present for orthopedic care. Weight loss associated with bariatric surgery should lead to enhanced success of hip replacements. However, we present a case of a black woman who underwent Roux-en-Y gastric bypass with the expectation that weight loss would make her a better surgical candidate for hip replacement. Her gastric bypass was successful as her BMI declined from 52.0 kg/m2 to 33.7 kg/m2. However, her hip circumference after weight loss remained persistently high. Therefore, at surgery the soft tissue tunnel geometry presented major challenges. Tunnel depth and immobility of the soft tissue interfered with retractor placement, tissue reflection, and surgical access to the acetabulum. Therefore a traditional cup placement could not be achieved. Instead, a hemiarthroplasty was performed. After surgery her pain and reliance on external support decreased. But her functional independence never improved. This case demonstrates that a lower BMI after bariatric surgery may improve the metabolic profile and decrease anesthesia risk, but the success of total hip arthroplasties remains problematic if fat mass in the operative field (i.e., high hip circumference remains high.

  13. VALIDITY OF USING WAIST AND HIP CIRCUMFERENCE MEASUREMENTS TO DETERMINE BODY COMPOSITION OF YOUNG SYRIAN MEN.

    Science.gov (United States)

    Al-Bachir, Mahfouz; Ahmad, Husam

    2016-09-01

    This study examined the relation between waist circumference (WC), hip circumference (HC), waist-to-hip ratio (WHpR), waist-to-height ratio (WHtR) and triceps skin-fold thickness and percentage body fat in young Syrian men. The aim was to develop equations that can use these anthropometric characteristics to estimate percentage body fat in this group of subjects. A total of 2470 healthy Syrian men aged 18-19 years were enrolled in the study in 2010-2011. The anthropometric characteristics of all subjects were measured. The percentage body fat of 213 of the subjects was determined using the deuterium dilution (DD) technique as a reference method. The validity of using WC, HC, WHpR and WHtR to calculate percentage body fat, in comparison with the reference method (DD technique), was assessed by calculating biases and limits of agreement. The estimates of percentage body fat using 'WC' and 'WC with triceps skin-fold' measurements ranged from 13.00±5.56% to 14.55±8.63%, and were lower than those determined using the reference method (21.32±6.42%). A better prediction equation is proposed for young adults, based on a multiple linear regression model using WC, HC and WHtR. PMID:26971838

  14. Determination of depot fat of children by measuring skin folds, body circumference and body distances as well as by the 40K-method

    International Nuclear Information System (INIS)

    10 different anthropometric measurements were performed in 134 children (mean age 3 years). We measured at 4 sites the thickness of four skin folds. In addition six body distances and circumferences were determined by means of a measuring tape. By multiple linear regression analysis those values were calculated, which representatively indicate the total fat content. Simultaneously a second depot fat determination was performed on these children by means of the 40K method. Here, the total potassium content was determined by measuring the natural 40K radioactivity of the whole body. The comparison of these two fat values showed good correlation. Our results confirm the opinion of those authors, who also evaluated the significance of this method. The measurement of the subcutaneous fatty tissue by means of anthropometric methods permits the objective analysis and evaluation of the outer state of nutrition of children. (orig./MG)

  15. 腋窝皱襞小切口大汗腺剪除术根治腋臭334例疗效观察及围手术期护理%The Clinical Effect Observation and Perioperative Care of A Treatment Method, Cutting off Apocrine Sweat Gland Precisely with Minimally Invasive in Axillary Folds, for Bromhidrosis

    Institute of Scientific and Technical Information of China (English)

    张璃; 林孝华; 宣喧; 李智铭

    2011-01-01

    目的 观察腋窝皱襞小切口大汗腺剪除术根治腋臭的疗效,探讨其围手术期预防并发症的措施.方法 入选患者均沿腋毛区外1.0cm处标记手术区域,在腋窝中央皮肤皱褶处切口,长约1.5 ~2.0cm,沿皮下组织浅层分离术区皮肤组织,翻转皮瓣,剪除皮肤上脂肪组织、大汗腺及毛囊,修剪成仅含皮肤全层和真皮下血管网的超薄皮瓣,再缝合切口.结果 334例患者,共治疗668侧,均有效,痊愈412侧,显效256侧,无效0侧.围手术期出现皮下血肿21侧、局部皮肤坏死6侧、切口延迟愈合11侧、局部湿疹样皮炎12侧、水疱和血疱56侧,积极对症处理后,预后良好.结论 腋窝皱襞小切口大汗腺剪除术根治腋臭,疗效肯定,手术切口瘢痕不明显.围手术期应积极预防和处理各种并发症的发生.%Objective To discuss the clinical effect and perioperative care of a treatment method to cure the bromhidro-sis completely. Methods Mark the surgical area 1cm away around the armpit hair, draw the operative incision along the center of the area, which is around 1.5 ~2.0cm; Peel and turn off the skin, directly cut off the fat, apocrine sweat gland and hair follicle attached to the skin, and left full-thickness skin and subcutaneous vascular net only, then sew up the incision. Results Total 334 suffers, 668 sides were all cured properly. Of which 412 sides were healed completely. 256 sides gained remarkable curative effect. There were some complications incurred,such as subcutaneous hematoma(21 sides) ,local skin necrosis(6 sides) , delayed wound healing (11 sides ), local eczematous dermatitis ( 12 sides ), blister and blood blister ( 56 sides). In the end, they had also been appropriately cured. Conclusion This surgery is a useful treatment method for bromhidrosis, and the Scar is not obvious. However, it is also necessary to prevent and appropriately cure in case of any complications.

  16. Un caso de baja segregada en niveles altos en el sur de Sudamérica: descripción del ciclo de vida y su relación con la precipitación A case of high level cut-off cyclonic vortex over southern South America: description of the life cycle and its relation to precipitation

    Directory of Open Access Journals (Sweden)

    Alejandro Anibal Godoy

    2011-09-01

    Full Text Available En este trabajo se analiza el ciclo de vida de una baja segregada que afectó el sur de Sudamérica entre el 26 de Marzo y el 2 de Abril del 2007 y se explora la relación existente entre las diferentes etapas de este sistema y la precipitación ocurrida sobre la franja central de Argentina. Además se evalúa si otros procesos coadyuvaron para la ocurrencia de la misma. Las características más relevantes de este sistema son su larga duración y el lento desplazamiento, ya que entre el inicio y el fin de su vida se desplaza sólo 780 km, manteniéndose estacionario, durante las etapas de segregación y madurez, por más de 56 hs frente a la costa central chilena. Esta última característica favorece la formación de un sistema de baja presión sobre el noroeste de Argentina y la persistencia de una corriente en chorro en capas bajas del norte que se extiende desde el centro de Bolivia hasta norte argentino. La masa de aire con características tropicales conducida por esta configuración y la convergencia en niveles bajos favorecieron el desarrollo convectivo. La precipitación acumulada durante estas etapas, en algunas regiones del sur del litoral argentino, superó los 300 mm, produciendo extensas inundaciones en la región. Durante la etapa de decaimiento (96 hs de duración, el sistema se debilita a medida que se desplaza hacia el este y las precipitaciones afectaron las provincias del centro-oeste de Argentina donde la lluvia en 48 horas duplicó el promedio mensual de marzo.This paper describes the life cycle of a high level cut-off cyclonic vortex that affected southern South America between 26 March and 2 April 2007, and explores the relationship between the evolution stages of the system and the rainfall over central Argentina. The possibility of other processes contributing to rainfall is also analyzed. The most relevant characteristics of this system were its length and slow displacement: from its development to decay it moved only

  17. 北京市城乡学生腰围臀围腰臀比分析%Waist circumference, hip circumference and waist-hip ratio among students in Beijing

    Institute of Scientific and Technical Information of China (English)

    邬盛鑫; 夏天; 杨忠; 安康; 尹丽君; 王东江; 宋玉珍; 刘淑娟

    2011-01-01

    目的 了解2010年北京市7~18岁中小学生腰围臀围和腰臀比的年龄、性别特征,为学生体质健康研究资料提供有益补充.方法 对2010年北京市体质调研7~18岁中小学生的腰围、臀围和腰臀比进行描述性分析.结果 男生腰围均值、腰臀比高于女生;城区男生臀围均值高于女生,差异有统计学意义(P <0.05或P<0.01),郊区男、女生臀围差异无统计学意义(P>0.05).腰围均值12岁前有随年龄增长而增加的趋势.学生臀围均值有随着年龄的增长而增加的趋势,差异有统计学意义(P值均<0.05).城区男生腰围均值高于郊区男生(P<0.05);城区女生腰围均值与郊区女生差异无统计学意义(P>0.05);城区男女生臀围均值大于郊区学生,差异有统计学意义(P<0.05);城郊区男生腰臀比均值差异无统计学意义(P>0.05);郊区女生腰臀比均值高于城区女生,差异有统计学意义(P<0.05).结论 北京城乡7 ~18岁学生腰围、臀围和腰臀比随年龄变化总趋势一致,但城乡各指标间年龄、性别特征存在差异.%Objective To study the characteristics of waist circumference, hip circumference and waist-hip ratio among students( aged 7-18 years) of different ages and sexes in Beijing. Methods As part of the Beijing students Physical fitness study, a stratified cluster representative sample of total population aged 7-18 years was selected. Anthropometric measure including waist circumference, hip circumference and the waist-hip ratio, using T test analysis methods to study the Beijing city and suburb students aged 7 to 18 waist circumference, hip circumference and the waist-hip ratio by age, gender differences in city and suburb areas. Results The boys' mean waist circumference and waist-hip ratio were higher than girls', the urban boys' mean hip circumference was higher than the urban girls( P 0.05). The mean waist circumference had an increasing trend with age before

  18. Determinação de escore e nota de corte do módulo de asma do International Study of Asthma and Allergies in Childhood para discriminação de adultos asmáticos em estudos epidemiológicos Determining the score and cut-off point that would identify asthmatic adults in epidemiological studies using the asthma module of the International Study of Asthma and Allergies in Childhood questionnaire

    Directory of Open Access Journals (Sweden)

    Elayne de Fátima Maçãira

    2005-12-01

    Full Text Available OBJETIVO: Validar o questionário padronizado escrito do International Study of Asthma and Allergies in Childhood, módulo sobre asma, para pesquisa de prevalência de asma, estabelecendo seu escore e a nota de corte para discriminação de adultos asmáticos. MÉTODOS: Entrevistamos pacientes ambulatoriais adultos, 40 asmáticos e 38 controles, pareados por sexo e idade, utilizando o módulo de asma do International Study of Asthma and Allergies in Childhood, composto por oito aspectos dicotômicos de asma. Determinamos o escore e a nota de corte para discriminação de asmáticos, definindo sua sensibilidade, especificidade e índice de Youden. Validamos o método em contraposição ao diagnóstico clínico e funcional. A reprodutibilidade das questões individuais foi testada por meio de reentrevistas de metade dos pacientes após algumas semanas. RESULTADOS: O escore variou de 0 a 14 pontos. Um escore = 5 pontos permitiu discriminar pacientes asmáticos (sensibilidade = 93%, especificidade = 100% e índice de Youden = 0,93. A maioria das questões apresentou boa reprodutibilidade, observada em reentrevista após 48,2 ± 11,1 dias (Kappa e Kappa ponderado variando de 0,43 a 1,00 para as questões individuais. CONCLUSÃO: A validação de uma nota de corte permite uma interpretação alternativa às informações fornecidas pelo módulo de asma do International Study of Asthma and Allergies in Childhood, levando em conta o conjunto das informações e não somente as respostas individuais de cada questão em estudos de prevalência de asma em adultos.OBJECTIVE: To validate, for use in asthma prevalence studies, the asthma module of the standardized written questionnaire developed for use in the International Study of Asthma and Allergies in Childhood, establishing the score and cut-off point that would identify asthmatic adults. METHODS: We interviewed 78 adult outpatients (40 adult asthmatics and 38 age-matched and gender-matched controls

  19. Differences in body circumferences, skin-fold thicknesses and lipid profiles among HIV-infected African children on and not on stavudine

    Directory of Open Access Journals (Sweden)

    V Musiime

    2012-11-01

    Full Text Available Purpose of the study To compare body circumferences, skin-fold thickness (SFT and lipid levels (LL, as measures of lipodystrophy, among antiretroviral therapy (ART-naïve and experienced children at enrolment into the CHAPAS-3 trial. Methods HIV-infected children in Uganda and Zambia, either ART-naïve or on stavudine (d4T for ≥2 years without clinical lipodystrophy, were randomised to receive d4T, abacavir (ABC or zidovudine (ZDV with lamivudine and efavirenz (EFV or nevirapine. At enrolment, mid-upper arm (MUAC and calf (CC circumferences, SFT (biceps, triceps, sub-scapular, supra-iliac and fasting lipids (total cholesterol (TC, low density lipo-protein (LDL, high density lipoprotein (HDL, triglycerides (TRIG were measured. Age/sex adjusted z-scores of MUAC, CC, SFT and the sum of SFT (SSF used Dutch reference data. ART-naïve and ART-experienced children were compared with t-tests using Stata v11.0. Summary of results Among 444 children, 224 (51% were male and 331 (74.5% ART-naïve. Mean (sd CD4% was 19.7% (10.2 versus (vs 34.2% (7.7 in ART-naïve vs ART-experienced children. The ART-naïve were younger than the ART-experienced children (median [IQR] age 2.5 [1.5, 4.0] vs 6.0 [5.5, 7.0] years, p<0.0001. Among the ART-experienced, 4/108 (3.7% were on EFV and median (IQR d4T use was 3.5 (2.7, 4.2 years. As expected, MUAC, CC, weight-for-age (WAZ and height-for-age (HAZ z-scores were lower in the ART-naïve; the ART-experienced had lower SFT z-scores and higher TC and HDL, but lower TRIG (Table 1. Conclusions Failure-to-thrive likely contributed to lower circumference values in ART-naïve children. Among the ART-experienced, thinner SFT and higher TC values could be ART (particularly d4T-related. Normal values, currently unavailable for African children, are being collected. During trial follow-up, we will evaluate the effect of ABC, ZDV and d4T on development of lipodystrophy in naïve children and its reversibility in d4T-treated children

  20. Normal values for segmental bioimpedance spectroscopy in pediatric patients.

    Directory of Open Access Journals (Sweden)

    Maria Laura Avila

    Full Text Available Localized limb edema is a clinically relevant sign in diseases such as post-thrombotic syndrome and lymphedema. Quantitative evaluation of localized edema in children is mainly done by measuring the absolute difference in limb circumference, which includes fat and fat-free mass. Bioimpedance spectroscopy (BIS provides information on the fluid volume of a body segment. Our objective was to determine normal ranges for segmental (arm and leg BIS measurements in healthy children. Additionally, we determined the normal ranges for the difference in arm and ankle circumference and explored the influence of handedness and the correlation between techniques.Healthy children aged 1-18 years were recruited. The ratio of extracellular fluid content between contralateral limbs (estimated as the inter-arm and inter-leg extracellular impedance ratio, and the ratio of extracellular to intracellular fluid content for each limb (estimated as the intracellular to extracellular impedance ratio were determined with a bioimpedance spectrometer. Arm and ankle circumference was determined with a Gulick II tape.We recruited 223 healthy children (48 infants, 54 preschoolers, 66 school-aged children, and 55 teenagers. Normal values for arm and leg BIS measurements, and for the difference in arm and ankle circumference were estimated for each age category. No influence of handedness was found. We found a statistically significant correlation between extracellular impedance ratio and circumference difference for arms among teenagers.We determined normal BIS ranges for arms and legs and for the difference in circumference between arms and between ankles in children. There was no statistically significant correlation between extracellular impedance ratio and difference in circumference, except in the case of arms in adolescents. This may indicate that limb circumference measures quantities other than fluid, challenging the adequacy of this technique to determine the presence

  1. Comparison of head circumference in an Israeli child population with United States and British standards.

    Science.gov (United States)

    Palti, H; Peritz, E; Flug, D; Gitlin, M; Adler, B

    1983-01-01

    The head circumference (HC) growth pattern of infants from 1 to 24 months of age was studied in a Jerusalem community. The means of HC of the study population are smaller for each age and sex group than those of the National Center of Health Statistics, USA reference population, London children and the Nellhaus standard. The regression of HC on length explains about 20% of the variance. In an analysis of variance controlling for social class, birth order and length, the differences by region of origin of the mother were not significant. The smaller HC of the study population is probably due to these children being shorter and lighter than the above-mentioned western populations. Malnutrition as a factor for small HC was excluded. PMID:6838166

  2. Weight training, aerobic physical activities, and long-term waist circumference change in men

    DEFF Research Database (Denmark)

    Mekary, Rania A; Grøntved, Anders; Despres, Jean-Pierre;

    2015-01-01

    weight (BW). METHODS: Physical activity, WC, and BW were reported in 1996 and 2008 in a cohort of 10,500 healthy U.S. men in the Health Professionals Follow-up Study. Multiple linear regression models (partition/substitution) to assess these associations were used. RESULTS: After adjusting for potential...... association with BW change (-0.23 kg, 95% CI -0.29, -0.17). CONCLUSIONS: Among various activities, weight training had the strongest association with less WC increase. Studies on frequency/volume of weight training and WC change are warranted.......OBJECTIVE: Findings on weight training and waist circumference (WC) change are controversial. This study examined prospectively whether weight training, moderate to vigorous aerobic activity (MVAA), and replacement of one activity for another were associated with favorable changes in WC and body...

  3. Physical activity in leisure-time is not associated with 10-year changes in waist circumference

    DEFF Research Database (Denmark)

    Berentzen, T.; Petersen, L.; Schnohr, P.;

    2008-01-01

    To examine whether physical activity (PA) is associated with changes in waist circumference (WC), and changes in WC given changes in body mass index (BMI). Longitudinal population-based study including 2026 men and 2782 women aged 21-81 years. Subjects were examined in 1991-1993 (baseline) and 2001......-2003 (follow up), where height, weight and WC were measured. Information about overall PA in leisure-time (LTPA), walking, biking and sports activity was collected with self-administrated questionnaires at baseline. Outcomes were changes in WC and changes in WC given changes in BMI between baseline and follow...... up. The median increase in WC was 3.0 cm in men and 3.5 cm in women during follow-up, and with a considerable inter-individual variation. LTPA, walking and biking were not significantly associated with the outcomes. Inverse associations between sports activity and the outcomes were observed in both...

  4. Body mass index and abdominal circumference among teens in the countryside of Piauí, Brazil

    Directory of Open Access Journals (Sweden)

    Ionara Holanda de Moura

    2012-06-01

    Full Text Available Anthropometric techniques, establishing the diagnosis of overweight / obesity as body mass index (BMI and waist circumference (WC, are increasingly important. With this research we aimed to learn about BMI and relate it to the WC of adolescent students in two institutions in Piaui. This descriptive cross-sectional study of quantitative prevalence. It carried out in two public schools in Picos - PI with 145 adolescents aged between 12 and 18 years for both sexes. Data collection was performed through a form from the months of August to December 2010. The prevalence of overweight was 3.7%. Overweight was significantly associated with increased WC (<0.0001. These results emphasize the relevance of conducting prevention and control of excess weight so that the health of adolescents should be maintained.

  5. Waist circumference and body mass index as predictors of health care costs

    DEFF Research Database (Denmark)

    Højgaard, Betina; Gyrd-Hansen, Dorte; Olsen, Kim Rose;

    2008-01-01

    BACKGROUND: In the present study we analyze the relationship between body mass index (BMI) and waist circumference (WC) and future health care costs. On the basis of the relation between these anthropometric measures and mortality, we hypothesized that for all levels of BMI increased WC implies....../PRINCIPAL FINDINGS: Data were obtained from the Danish prospective cohort study Diet, Cancer and Health. The population includes 15,334 men and 16,506 women 50 to 64 years old recruited in 1996 to 1997. The relationship between future health care costs and BMI and WC in combination was analyzed by use of categorized...... and continuous analyses. The analysis confirms Hypothesis 1, reflecting that an increased level of abdominal fat for a given BMI gives higher health care costs. Hypothesis 2, that BMI had a protective effect for a given WC, was only confirmed in the continuous analysis and for a subgroup of women (BMI

  6. Midupper arm circumference and weight-for-length z scores have different associations with body composition

    DEFF Research Database (Denmark)

    Grijalva-Eternod, Carlos S; Wells, Jonathan Ck; Girma, Tsinuel;

    2015-01-01

    BACKGROUND: A midupper arm circumference (MUAC) score (WHZ) or weight-for-length z score (WLZ) less than -3, all of which are recommended to identify severe wasting in children, often identify different children. The reasons behind this poor agreement are not well...... understood. OBJECTIVE: We investigated the association between these 2 anthropometric indexes and body composition to help understand why they identify different children as wasted. DESIGN: We analyzed weight, length, MUAC, fat-mass (FM), and fat-free mass (FFM) data from 2470 measurements from 595 healthy...... composition, and length influences these associations differently. Our results suggest that the WLZ is a good marker of tissue masses independent of length. The MUAC acts more as a composite index of poor growth indexing jointly tissue masses and length. This trial was registered at www...

  7. Adipose tissue trans fatty acids and changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Hansen, Camilla P.; Berentzen, Tina L.; Østergaard, Jane N.;

    2014-01-01

    Previous studies have suggested that the intake of trans-fatty acids (TFA) plays a role in the development of obesity. The proportions of adipose tissue fatty acids not synthesised endogenously in humans, such as TFA, usually correlate well with the dietary intake. Hence, the use...... of these biomarkers may provide a more accurate measure of habitual TFA intake than that obtained with dietary questionnaires. The objective of the present study was to investigate the associations between the proportions of specific TFA in adipose tissue and subsequent changes in weight and waist circumference (WC......). The relative content of fatty acids in adipose tissue biopsies from a random sample of 996 men and women aged 50–64 years drawn from a Danish cohort study was determined by GC. Baseline data on weight, WC and potential confounders were available together with information on weight and WC 5 years after...

  8. A new way to measure mid-upper-arm circumference in African villages

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    Gregor Pollach

    2014-06-01

    Full Text Available In 2011 we published a study on how to detect the threshold for malnutrition in children, simply using their own hands and without any technical tool. The fight against malnutrition can only be reached when its measurements involve every single child, almost continuously, in the affected villages. In this paper we try to show that, thanks to our method, it is possible to use mid-upper-arm-circumference as a measurement for malnutrition in children, discriminating between severe and moderate malnutrition and providing the basis for the decision on whether to admit a child to a nutritional rehabilitation unit or not. We trained 63 participants in four groups (Group 1: doctors and clinical officers; Group 2: nurses and students; as Group 3 we defined the 20 best participants and Group 4 consisted of 10 more intensely trained participants to measure the circumference of 9 different artificial arms (between 9 and 13 cm using their own fingers and hands. The training was short and consisted of an introduction of 5 min, a first training phase of 10-15 min, a test, the critical discussion of the results, a second training phase of 5 min and a final test. We found that 95.3% of participants in the general group and 97.9% in the intensely trained group have identified the severely malnourished child; 87.3% in the general group and 91.9% in the intensely trained group have additionally identified the moderately malnourished child. Both groups haven’t admitted the well nourished child to a therapeutic feeding program retaining their resources. The third group reached without any additional training the results in the above categories. A subsequent discussion with the participants on the influence of procurement, maintenance and pricing of our tool, found our method much less vulnerable than others. We conclude that this method should be considered as a future training in the villages to detect the trend towards malnutrition early enough.

  9. Effects of selection for scrotal circumference in Limousin bulls on reproductive and growth traits of progeny.

    Science.gov (United States)

    Moser, D W; Bertrand, J K; Benyshek, L L; McCann, M A; Kiser, T E

    1996-09-01

    Nine pairs of Limousin bulls from nine contemporary groups were acquired, with each pair consisting of one large scrotal circumference (SC) bull and one small SC bull. Average adjusted yearling scrotal circumferences were 36.3 cm (SD 1.6 cm) and 28.5 cm (SD .9 cm) for large SC (LP) and small SC (SP) bulls, respectively. In addition to the phenotypic grouping, non-parent SC EPD were used to group bulls into high (HE, > .53 cm), average (AE), and low (LE, Brangus x Hereford cows each yr for 1 to 3 yr. Birth weights, weaning and yearling weights and heights, and ultrasound measurements for backfat and ribeye measurements were taken on 407 progeny. Blood samples were collected on 210 heifer progeny when they averaged 11, 13, and 15 mo of age to determine whether they had reached puberty. When subjected to a breeding soundness exam (BSE), LP bulls scored higher (P < .01) for motility as well as total BSE score. The LP calves had heavier birth weights (P < .05) and greater testicular mass at weaning (P < .01) than SP calves. The HE and AE bull calves had greater (P < .02) testicular mass than did the LE bull calves. A greater (P < .05) percentage of HE heifers had reached puberty by the 11- and 13-mo measurements than either the AE or LE heifers. The HE heifers reached puberty at a younger age than AE (P < .01) or LE (P < .001) heifers. Selection using SC EPD was more effective than phenotypic selection in reducing age at puberty in daughters. PMID:8880405

  10. Dietary energy density in relation to subsequent changes of weight and waist circumference in European men and women.

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    Huaidong Du

    Full Text Available BACKGROUND: Experimental studies show that a reduction in dietary energy density (ED is associated with reduced energy intake and body weight. However, few observational studies have investigated the role of ED on long-term weight and waist circumference change. METHODS AND PRINCIPAL FINDINGS: This population-based prospective cohort study included 89,432 participants from five European countries with mean age 53 years (range: 20-78 years at baseline and were followed for an average of 6.5 years (range: 1.9-12.5 years. Participants were free of cancer, cardiovascular diseases and diabetes at baseline. ED was calculated as the energy intake (kcal from foods divided by the weight (g of foods. Multiple linear regression analyses were performed to investigate the associations of ED with annual weight and waist circumference change. Mean ED was 1.7 kcal/g and differed across study centers. After adjusting for baseline anthropometrics, demographic and lifestyle factors, follow-up duration and energy from beverages, ED was not associated with weight change, but significantly associated with waist circumference change overall. For 1 kcal/g ED, the annual weight change was -42 g/year [95% confidence interval (CI: -112, 28] and annual waist circumference change was 0.09 cm/year [95% CI: 0.01, 0.18]. In participants with baseline BMI<25 kg/m(2, 1 kcal/g ED was associated with a waist circumference change of 0.17 cm/year [95% CI: 0.09, 0.25]. CONCLUSION: Our results suggest that lower ED diets do not prevent weight gain but have a weak yet potentially beneficial effect on the prevention of abdominal obesity as measured by waist circumference.

  11. Prognostic value of blood flow measurements using arterial spin labeling in gliomas.

    Directory of Open Access Journals (Sweden)

    Julia Furtner

    Full Text Available The period of event-free survival (EFS within the same histopathological glioma grades may have high variability, mainly without a known cause. The purpose of this study was to reveal the prognostic value of quantified tumor blood flow (TBF values obtained by arterial spin labeling (ASL for EFS in patients with histopathologically proven astrocytomas independent of WHO (World Health Organization grade. Twenty-four patients with untreated gliomas underwent tumor perfusion quantification by means of pulsed ASL in 3T. The clinical history of the patients was retrospectively extracted from the local database. Six patients had to be excluded due to insufficent follow-up data for further evaluation or histopathologically verified oligodendroglioma tumor components. Receiver operating characteristic (ROC curves were used to define an optimal cut-off value of maximum TBF (mTBF values for subgrouping in low-perfused and high-perfused gliomas. Kaplan-Meier curves and Cox proportional hazard regression model were used to determine the prognostic value of mTBF for EFS. An optimal mTBF cut-off value of 182 ml/100 g/min (sensitivity  = 83%, specificity  = 100% was determined. Patients with low-perfused gliomas had significantly longer EFS compared to patients with high-perfused gliomas (p = 0.0012 independent of the WHO glioma grade. Quantified mTBF values obtained by ASL offer a new and totally non-invasive marker to prognosticate the EFS, independently on histopathological tumor grading, in patients with gliomas.

  12. Echocardiographic Partition Values and Prevalence of Left Ventricular Hypertrophy in Hypertensive Jamaicans

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    Chiranjivi Potu

    2012-02-01

    Full Text Available Left ventricular hypertrophy (LVH detected by either electrocardiography or echo- cardiography has been shown to be an extremely strong predictor of morbidity and mortality in patients with essential hypertension and in members of the general population. Alternative to LVH, left ventricular geometrical patterns offer incremental prognostic value beyond that provided by the other cardiovascular risk factors including left ventricular mass (LVM. Combination of LVM and relative wall thickness (RWT can be used to identify different left ventricular geometrical patterns. Various indexation methods normalised for LVM have been shown to offer prognostic significance. There was no prior study on the prevalence of LVH and geometric patterns in hypertensive patients in Jamaica using multiple partition values. Our study was designed to estimate the prevalence of LVH and geometrical patterns in a hypertensive Caribbean population in Jamaica using 10 different published cut-off values.

  13. ROC curves of obesity indicators have a predictive value for children hypertension aged 7-17 years

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    Li Tai-shun

    2014-08-01

    Full Text Available Objective: The aim of the study is to examine the distribution of integrated covariate and its association with blood pressure (BP among children in Anhui province, China, and assess the predictive value of integrated covariate to children hypertension. Methods: A total of 2,828 subjects (1,588 male and 1,240 female aged 7-17 years participated in this study. Height, weight, waistline, hipline and BP of all subjects were measured, obesity and overweight were defined by an international standard, specifying the measurement, the reference population, and the age and sex specific cut off points. High BP status was defined as systolic blood pressure (SBP and/or diastolic blood pressure (DBP > 95th percentile for age and gender. Results: Our results revealed that the prevalence of children hypertension was 11.03%, the SBP and DBP of obesity group were significantly higher than that of normal group. Anthropometric obesity indices such as body mass index (BMI were positively correlated with SBP and DBP. Integrated covariate had a better performance than the single covariate in the receiver-operating characteristic (ROC curve, the cut-off value; the sensitivity and the specificity of the integrated covariate were 0.112, 0.577, 0.683, respectively. Conclusion: Integrated covariate is a simple and effective anthropometric index to identify childhood hypertension.

  14. Immunohistochemistry Study of P53 and C-erbB-2 Expression in Trophoblastic Tissue and Their Predictive Values in Diagnosing Malignant Progression of Simple Molar Pregnancy

    Science.gov (United States)

    Hasanzadeh, Malihe; Sharifi, Norrie; Farazestanian, Marjaneh; Nazemian, Seyed Saman; Madani Sani, Faezeh

    2016-01-01

    Background Finding a tumor marker to predict the aggressive behavior of molar pregnancy in early stages has yet been a topic for studies. Objectives In this survey we planned to study patients with molar pregnancy to 1) assess the p53 and c-erbB-2 expression in trophoblastic tissue, 2) to study the relationship between their expression intensity and progression of a molar pregnancy to gestational trophoblastic neoplasia, and 3) to determine a cut off value for the amount of p53 and c-erbB-2 expression which might correlate with aggressive behavior of molar pregnancy. Patients and Methods In a prospective cross sectional study by using a high accuracy technique EnVision Tm system for immunohistochemistry staining of molar pregnancy samples, we evaluated p53 and c-erbB-2 expression in cytotrophoblast and syncytiotrophoblast and the correlation of their expression with progression of molar pregnancy to gestational trophoblastic neoplasia (GTN). Normal prostatic tissue and Breast cancer tissue were used as positive controls. Results We studied 28 patients with simple molar pregnancy (SMP) and 30 with GTN. Cytotrophobalst had significantly higher expression of p53 and c-erbB-2 and syncytiotrophoblast had greater expression of p53 in GTN group as compared to SMP group. The cut off values for percentage of p53 positive immunostained cytotrophoblast and syncytiotrophoblast were 5.5% and 2.5%. In c-erbB-2 positive membranous stained cytotrophoblast the cut off was 12.5%. Conclusions Our data suggests that over expression of p53 and c-erbB-2 is associated with malignant progression of molar pregnancy. We encountered that high expression of p53 and c-erbB-2 in trophoblastic cells could predict gestational trophoblastic neoplasia during the early stages. PMID:27703642

  15. Physical activity, diet and gene-environment interactions in relation to body mass index and waist circumference

    DEFF Research Database (Denmark)

    Karnehed, Nina; Tynelius, Per; Heitmann, Berit L;

    2006-01-01

    OBJECTIVE: The aim of the present study was to examine the relationships between genetic susceptibility to obesity, physical activity (PA), dietary fibre, sugar and fat intakes and 4-year changes in body mass index (BMI) and attained waist circumference (WC) in a cohort of 287 monozygotic and 189...

  16. Mid-upper arm circumference is associated with biochemically determined nutritional status indicators among adolescent girls in Central Mozambique.

    Science.gov (United States)

    Kulathinal, Sangita; Freese, Riitta; Korkalo, Liisa; Ismael, Carina; Mutanen, Marja

    2016-08-01

    Biochemically determined nutritional status measurements in low-income countries are often too expensive. Therefore, we hypothesized that some anthropometrical or functional measurements (handgrip) could reflect nutritional status measured by specific biochemical indicators. We did a population-based study from 1 urban area and 2 rural districts in Zambézia Province of Mozambique. The participants (n=386) were non-pregnant adolescent girls between 15 and 18 years of age. 96% had a normal BMI-for-age score. Weight and mid-upper arm circumference (MUAC) were highly correlated (r>0.8) with each other and with total body muscle mass, body mass index (BMI), and with waist circumference, as well as with skinfolds (r>0.6). Upper and total arm lengths were correlated (r>0.7) with height and with each other, and right and left handgrip were correlated only with each other, as were triceps and subscapular skinfolds (r>0.7). Serum albumin correlated negatively with waist circumference (Pnutritional status indicators in the models using hemoglobin, serum albumin, ferritin, zinc, and plasma retinol concentrations as dependent variables. MUAC could be a valuable anthropometric marker of the overall nutritional status of adolescent girls in low-income countries. When nutrition transition proceeds, waist circumference together with MUAC could form tools for the prediction of worsening of nutritional status.

  17. Mid-upper arm circumference is associated with biochemically determined nutritional status indicators among adolescent girls in Central Mozambique.

    Science.gov (United States)

    Kulathinal, Sangita; Freese, Riitta; Korkalo, Liisa; Ismael, Carina; Mutanen, Marja

    2016-08-01

    Biochemically determined nutritional status measurements in low-income countries are often too expensive. Therefore, we hypothesized that some anthropometrical or functional measurements (handgrip) could reflect nutritional status measured by specific biochemical indicators. We did a population-based study from 1 urban area and 2 rural districts in Zambézia Province of Mozambique. The participants (n=386) were non-pregnant adolescent girls between 15 and 18 years of age. 96% had a normal BMI-for-age score. Weight and mid-upper arm circumference (MUAC) were highly correlated (r>0.8) with each other and with total body muscle mass, body mass index (BMI), and with waist circumference, as well as with skinfolds (r>0.6). Upper and total arm lengths were correlated (r>0.7) with height and with each other, and right and left handgrip were correlated only with each other, as were triceps and subscapular skinfolds (r>0.7). Serum albumin correlated negatively with waist circumference (Padolescent girls in low-income countries. When nutrition transition proceeds, waist circumference together with MUAC could form tools for the prediction of worsening of nutritional status. PMID:27440538

  18. Dietary determinants of changes in waist circumference adjusted for body mass index - a proxy measure of visceral adiposity

    NARCIS (Netherlands)

    Romaguera, D.; Angquist, L.; Huaidong, D.U.; Jakobsen, M.U.; Forouhi, N.G.; Halkjaer, J.; Feskens, E.J.M.; A, van der D.L.; Masala, G.; Steffen, A.; Palli, D.; Wareham, N.; Overvad, K.; Tjonneland, A.; Boeing, H.; Riboli, E.; Sorensen, T.

    2010-01-01

    Background Given the recognized health effects of visceral fat, the understanding of how diet can modulate changes in the phenotype “waist circumference for a given body mass index (WCBMI)”, a proxy measure of visceral adiposity, is deemed necessary. Hence, the objective of the present study was to

  19. Dietary determinants of changes in waist circumference adjusted for body mass index - a proxy measure of visceral adiposity

    DEFF Research Database (Denmark)

    Romaguera, Dora; Ängquist, Lars Henrik; Du, Huaidong;

    2010-01-01

    Given the recognized health effects of visceral fat, the understanding of how diet can modulate changes in the phenotype "waist circumference for a given body mass index (WC(BMI))", a proxy measure of visceral adiposity, is deemed necessary. Hence, the objective of the present study was to assess...

  20. Changes in Waist Circumference and the Incidence of Acute Myocardial Infarction in Middle-Aged Men and Women

    DEFF Research Database (Denmark)

    Berentzen, Tina Landsvig; Jakobsen, Marianne Uhre; Stegger, Jakob Gerhard;

    2011-01-01

    Waist circumference (WC) measured at one point in time is positively associated with the risk of acute myocardial infarction (MI), but the association with changes in WC (DWC) is not clear. We investigated the association between DWC and the risk of MI in middle-aged men and women, and evaluated...

  1. The association of education with body mass index and waist circumference in the EPIC-PANACEA study

    NARCIS (Netherlands)

    S. Hermann; S. Rohrmann; J. Linseisen; A.M. May; A. Kunst; H. Besson; D. Romaguera; N. Travier; M.J. Tormo; E. Molina; M. Dorronsoro; A. Barricarte; L. Rodriguez; F.L. Crowe; K.T. Khaw; N.J. Wareham; P.G.A. van Boeckel; H.B. Bueno-de-Mesquita; K. Overvad; M.U. Jakobsen; A. Tjonneland; J. Halkjaer; C. Agnoli; A. Mattiello; R. Tumino; G. Masala; P. Vineis; A. Naska; P. Orfanos; A. Trichopoulou; R. Kaaks; M.M. Bergmann; A. Steffen; B. van Guelpen; I. Johansson; S. Borgquist; J. Manjer; T. Braaten; G. Fagherazzi; F. Clavel-Chapelon; T. Mouw; T. Norat; E. Riboli; S. Rinaldi; N. Slimani; P.H.M. Peeters

    2011-01-01

    Background: To examine the association of education with body mass index (BMI) and waist circumference (WC) in the European Prospective Investigation into Cancer and Nutrition (EPIC). Method: This study included 141,230 male and 336,637 female EPIC-participants, who were recruited between 1992 and 2

  2. Waist circumference as a measurement of obesity in the Netherlands Antilles; associations with hypertension and diabetes mellitus

    NARCIS (Netherlands)

    Grievink, L.; Alberts, J.F.; O'Neil, J.; Gerstenbluth, I.

    2004-01-01

    Objectives: To evaluate waist circumference ( WC) as a screening tool for obesity in a Caribbean population. To identify risk groups with a high prevalence of ( central) obesity in a Caribbean population, and to evaluate associations between ( central) obesity and self-reported hypertension and diab

  3. Dietary energy density in relation to subsequent changes of weight and waist circumference in European men and women

    DEFF Research Database (Denmark)

    Du, Huaidong; van der A, Daphne L; Ginder, Vanessa;

    2009-01-01

    adjusting for baseline anthropometrics, demographic and lifestyle factors, follow-up duration and energy from beverages, ED was not associated with weight change, but significantly associated with waist circumference change overall. For 1 kcal/g ED, the annual weight change was -42 g/year [95% confidence...

  4. Central Obesity and Metabolic Risk Factors in Middle-aged Chinese

    Institute of Scientific and Technical Information of China (English)

    YIN Xue Yao; ZHENG Fen Ping; ZHOU Jia Qiang; DU Ying; PAN Qian Qian; ZHANG Sai Fei; YU Dan; LI Hong

    2014-01-01

    Objective Central obesity is considered to be a central component of metabolic syndrome. Waist circumference (WC) has been widely used as a simple indicator of central obesity. This study is aimed to evaluate the sensitivity of WC cut-off values for predicting metabolic risk factors in middle-aged Chinese. Methods The study involved 923 subjects aged 40-65 years. The metabolic risk factors were defined according to the Chinese Joint Committee for Developing Chinese Guidelines on Prevention and Treatment of Dyslipidemia in Adults. WC cut-off 85-90 cm and≥90 cm were used as cut-off values of central pre-obesity and central obesity in males, respectively, while WC 80-85 cm and≥85 cm were used as cut-off values of central pre-obesity and central obesity in females. Results First, WC values corresponding to body mass index (BMI) 24 kg/m2 and visceral fat area (VFA) 80 cm2 were 88.55 cm and 88.51 cm in males, and 81.46 cm and 82.51 cm in females respectively. Second, receiver operating characteristic curves showed that the optimal WC cut-off of value was 88.75 cm in males, higher than that in females (81.75 cm). Third, the subjects with higher WC values were more likely to have accumulating metabolic risk factors. The prevalence of metabolic risk factors increased linearly and significantly in relation to WC levels. Conclusion WC cut-off values of central pre-/central obesity are optimal to predict multiple metabolic risk factors.

  5. Waist circumference as compared with body-mass index in predicting mortality from specific causes.

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    Michael F Leitzmann

    Full Text Available BACKGROUND: Whether waist circumference provides clinically meaningful information not delivered by body-mass index regarding prediction of cause-specific death is uncertain. METHODS: We prospectively examined waist circumference (WC and body-mass index (BMI in relation to cause-specific death in 225,712 U.S. women and men. Cox regression was used to estimate relative risks and 95% confidence intervals (CI. Statistical analyses were conducted using SAS version 9.1. RESULTS: During follow-up from 1996 through 2005, we documented 20,977 deaths. Increased WC consistently predicted risk of death due to any cause as well as major causes of death, including deaths from cancer, cardiovascular disease, and non-cancer/non-cardiovascular diseases, independent of BMI, age, sex, race/ethnicity, smoking status, and alcohol intake. When WC and BMI were mutually adjusted in a model, WC was related to 1.37 fold increased risk of death from any cancer and 1.82 fold increase risk of death from cardiovascular disease, comparing the highest versus lowest WC categories. Importantly, WC, but not BMI showed statistically significant positive associations with deaths from lung cancer and chronic respiratory disease. Participants in the highest versus lowest WC category had a relative risk of death from lung cancer of 1.77 (95% CI, 1.41 to 2.23 and of death from chronic respiratory disease of 2.77 (95% CI, 1.95 to 3.95. In contrast, subjects in the highest versus lowest BMI category had a relative risk of death from lung cancer of 0.94 (95% CI, 0.75 to 1.17 and of death from chronic respiratory disease of 1.18 (95% CI, 0.89 to 1.56. CONCLUSIONS: Increased abdominal fat measured by WC was related to a higher risk of deaths from major specific causes, including deaths from lung cancer and chronic respiratory disease, independent of BMI.

  6. Appropriate body mass index and waist circumference cutoff for overweight and central obesity among adults in Cambodia.

    Directory of Open Access Journals (Sweden)

    Yom An

    Full Text Available BACKGROUND: Body mass index (BMI and waist circumference (WC are used in risk assessment for the development of non-communicable diseases (NCDs worldwide. Within a Cambodian population, this study aimed to identify an appropriate BMI and WC cutoff to capture those individuals that are overweight and have an elevated risk of vascular disease. METHODOLOGY/PRINCIPAL FINDINGS: We used nationally representative cross-sectional data from the STEP survey conducted by the Department of Preventive Medicine, Ministry of Health, Cambodia in 2010. In total, 5,015 subjects between age 25 and 64 years were included in the analyses. Chi-square, Fisher's Exact test and Student t-test, and multiple logistic regression were performed. Of total, 35.6% (n = 1,786 were men, and 64.4% (n = 3,229 were women. Mean age was 43.0 years (SD = 11.2 years and 43.6 years (SD = 10.9 years for men and women, respectively. Significant association of subjects with hypertension and hypercholesterolemia was found in those with BMI ≥ 23.0 kg/m(2 and with WC >80.0 cm in both sexes. The Area Under the Curve (AUC from Receiver Operating Characteristic curves was significantly greater in both sexes (all p-values <0.001 when BMI of 23.0 kg/m(2 was used as the cutoff point for overweight compared to that using WHO BMI classification for overweight (BMI ≥ 25.0 kg/m(2 for detecting the three cardiovascular risk factors. Similarly, AUC was also significantly higher in men (p-value <0.001 when using WC of 80.0 cm as the cutoff point for central obesity compared to that recommended by WHO (WC ≥ 94.0 cm in men. CONCLUSION: Lower cutoffs for BMI and WC should be used to identify of risks of hypertension, diabetes, and hypercholesterolemia for Cambodian aged between 25 and 64 years.

  7. The occipitofrontal circumference: reliable prediction of the intracranial volume in children with syndromic and complex craniosynostosis.

    Science.gov (United States)

    Rijken, Bianca Francisca Maria; den Ottelander, Bianca Kelly; van Veelen, Marie-Lise Charlotte; Lequin, Maarten Hans; Mathijssen, Irene Margreet Jacqueline

    2015-05-01

    OBJECT Patients with syndromic and complex craniosynostosis are characterized by the premature fusion of one or more cranial sutures. These patients are at risk for developing elevated intracranial pressure (ICP). There are several factors known to contribute to elevated ICP in these patients, including craniocerebral disproportion, hydrocephalus, venous hypertension, and obstructive sleep apnea. However, the causal mechanism is unknown, and patients develop elevated ICP even after skull surgery. In clinical practice, the occipitofrontal circumference (OFC) is used as an indirect measure for intracranial volume (ICV), to evaluate skull growth. However, it remains unknown whether OFC is a reliable predictor of ICV in patients with a severe skull deformity. Therefore, in this study the authors evaluated the relation between ICV and OFC. METHODS Eighty-four CT scans obtained in 69 patients with syndromic and complex craniosynostosis treated at the Erasmus University Medical Center-Sophia Children's Hospital were included. The ICV was calculated based on CT scans by using autosegmentation with an HU threshold Crouzon-Pfeiffer (p syndrome (p = 0.001), and r = 0.917 for complex craniosynostosis (p syndromic and complex craniosynostosis. Therefore, measuring the OFC during clinical practice is very useful in determining which patients are at risk for impaired skull growth. PMID:25929971

  8. Long-term exposure to residential traffic noise and changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Christensen, Jeppe S.; Raaschou-Nielsen, Ole; Tjønneland, Anne;

    2015-01-01

    for age, sex, socioeconomic position and lifestyle factors in three models with increasing adjustment. RESULTS: In linear models adjusted for sex, age, socioeconomic position and competing noise sources we found road traffic noise to be significantly associated with small gains in both weight and waist......: We aimed to investigate the association between long-term residential traffic noise and changes in adiposity. MATERIALS AND METHODS: The study was based on 39,720 middle-aged Danish men and women from a cohort, with information on weight and waist circumference at two points in time. Residential...... an 10% increased risk for gaining more than 5kg body weight during follow-up (95% CI: 1.04; 1.15) per 10dB higher 5 years exposure preceding follow-up. Exposure to railway noise above 55dB was associated with weight gain (39.9g/year (95% CI: 10.2; 69.6)), but not with a significant change in waist...

  9. Dietary n-6 PUFA, carbohydrate:protein ratio and change in body weight and waist circumference

    DEFF Research Database (Denmark)

    Jakobsen, Marianne Uhre; Madsen, Lise; Dethlefsen, Claus;

    2014-01-01

    -order terms, protein intake, long-chain n-3 PUFA intake and other potential confounders. Due to adjustment for intake of protein, levels of carbohydrate indirectly reflect levels of the carbohydrate:protein ratio. SETTING: Diet, Cancer and Health follow-up study, Denmark. SUBJECTS: Women and men (n 29 152......) aged 55 years. RESULTS: For a high intake of n-6 PUFA (6·9 % of energy) v. a low intake of n-6 PUFA (3·4 % of energy), the difference in 5-year weight change was -189·7 g (95 % CI -636·8, 257·4 g) at a low carbohydrate:protein ratio and -86·7 g (95 % CI -502·9, 329·6 g) at a high carbohydrate......OBJECTIVE: To investigate the association between the intake of n-6 PUFA and subsequent change in body weight and waist circumference at different levels of the carbohydrate:protein ratio. DESIGN: Follow-up study with anthropometric measurements at recruitment and on average 5·3 years later...

  10. Study of transverse crack formation on surface area of UO{sub 2} pellet circumference

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Dionisia S.; Paneto, Lelia F.P.C.; Souza, Patricia O. de, E-mail: dionisia@inb.gov.br, E-mail: lelia@inb.gov.br, E-mail: patriciasouza@inb.gov.br [Industrias Nucleares do Brasil (INB), Resende, RJ (Brazil). Gerencia de Analise Tecnica do Combustivel Nuclear

    2013-07-01

    Microstructure of a polycrystalline material has a considerable influence on particular properties, such as mechanical strength, electrical conductivity, optical transmission and magnetic susceptibility. The uranium dioxide (UO{sub 2}) is used in water-cooled nuclear reactors, due to its desirable ceramics characteristics as a nuclear fuel. The UO{sub 2} is used in the form of pellets manufactured by wet route by INB, where they are loaded into fuel rods to build the fuel assemblies used in pressurized water reactors of Angra 1, Angra 2 and future Angra 3 nuclear power plants, for electric energy generated from nuclear power in Brazil. The geometric and structural integrity of these pellets cause direct influence on their performance during the reactor core operating cycle, so pellets presenting surface cracks leading to the phenomenon of pellet cladding interaction-PCI, resulting in failures in the fuel rod and subsequently release of fission products in the reactor coolant. Transverse cracks on surface area of pellet circumference are detected by visual inspection during the manufacturing process. This paper presents the study of these cracks formation by content analysis conducted with the support of electron microscopy. These results here are analyzed from the point of view of materials science through observation of the microstructure, and the pressing process where the defect was probably generated. (author)

  11. Use of height3:waist circumference3 as an index for metabolic risk assessment?

    Science.gov (United States)

    Bosy-Westphal, Anja; Danielzik, Sandra; Geisler, Corinna; Onur, Simone; Korth, Oliver; Selberg, Oliver; Pfeuffer, Maria; Schrezenmeir, Jürgen; Müller, Manfred J

    2006-06-01

    Current anthropometric indices for health risk assessment are indirect measures of total or visceral body fat mass that do not consider the inverse relationship of lean body mass to metabolic risk as well as the non-linear relationship between central obesity and insulin resistance. We examined a new anthropometric index that reflects the relationship of waist circumference (WC) as a risk factor to fat-free mass (FFM) as a protective parameter of body composition. In a population of 335 adults (191 females and 144 males; mean age 53 (SD 13.9) years) with a high prevalence of obesity (27%) and metabolic syndrome (30%) we derived FFM:WC(3) from the best fit of the relationship with metabolic risk factors (plasma triacylglycerol levels and insulin resistance by homeostasis model assessment index). Because FFM is known to be proportional to the cube of height, FFM was subsequently replaced by height(3) yielding height(3):WC(3) as an easily applicable anthropometric index. Significant inverse relationships of height(3):WC(3) to metabolic risk factors were observed for both sexes. They slightly exceeded those of conventional anthropometric indices such as BMI, WC or WC:hip ratio in women but not in men. The exponential character of the denominator WC(3) implies that at a given FFM with gradually increasing WC the increase in metabolic risk is lower than proportional. Further studies are needed to evaluate height(3):WC(3) as an anthropometric index for health risk assessment. PMID:16768846

  12. Right to Left Ventricular Diameter Ratio ≥0.42 is the Warning Flag for Suspecting Atrial Septal Defect in Preschool Children: Age- and Body Surface Area-Related Reference Values Determined by M-Mode Echocardiography.

    Science.gov (United States)

    Hashimoto, Ikuo; Watanabe, Kazuhiro; Ichida, Fukiko

    2016-04-01

    It is not always easy to observe and screen atrial septal defects (ASD) using echocardiography. In addition, there are no established echocardiographic reference indices for screening patients with ASDs. We retrospectively reviewed our database and recruited 151 isolated ASD patients and 2769 healthy subjects. In total, 307 echocardiographic studies were performed for ASD patients. Surgical repairs were done in 75 of the ASD patients. The ratio of right to left ventricular end-diastolic dimensions (RVD/LVD), which was determined by M-mode echocardiography, was used as an index of RV dilatation. After obtaining age- and body surface area (BSA)-related RVD/LVD nomograms in healthy subjects, we calculated the z-scores of RVD/LVD for all subjects and obtained the optimal cut-off values to differentiate patients with ASD from healthy subjects. The optimal cut-off values were high in neonates and gradually decreased with an increase in the age and BSA, but were almost constant in children aged >4 years or whose BSA was >0.65 m(2). The cut-off values of RVD/LVD for suspected ASD were ≥0.42 in children aged >4 years or those whose BSA was >0.65 m(2). Those for an ASD operation were ≥0.46 in those whose BSA > 0.65 m(2). The RVD/LVD determined by M-mode echocardiography is a useful index to evaluate RV dilatation in patients with ASDs. The RVD/LVD ≥ 0.42 is the warning flag for suspecting ASD in preschool children and that ≥0.46 may be a clinical important sign to determine ASD operation. PMID:26700967

  13. Dietary Patterns of Young Females and Their Association With Waist Circumference as a Health Index in Northwest of Iran, 2007

    Science.gov (United States)

    Alizadeh, Mohammad; Didarloo, Alireza; Esmaillzadeh, Ahmad

    2015-01-01

    Background: Despite the higher prevalence of overweight and obesity among young people in western countries, the 50th and 95th percentile ranks for waist circumference in the Iranian young Females are higher than those of the western ones. Objectives: Identifying major dietary patterns in Iranian young females, which associate with central obesity, can probably explain the difference between Iranian young females’ pattern and those of their western peers regarding obesity. Patients and Methods: In the current cross-sectional study, a total of 257 young females aged 11 - 15 years old from Talaat Intelligent Guidance School, Tabriz, Iran (2007) were selected for the study using non-probability simple sampling method. Then, usual dietary intakes of all subjects were evaluated by a food frequency questionnaire and anthropometric measurements such as weight, height, waist circumference, and Body Mass Index (BMI) using the standard protocols. Data were analyzed by inferential statistics (One-way ANOVA, Tukey test for Post-Hoc Analysis, Chi-square test, age-adjusted means, analysis of covariance with Bonferroni correction, correlation and partial correlation) by SPSS software. Results: In the current study, six major dietary patterns were extracted using factor analysis method. Before and after controlling the age, subjects in the upper tertile of the Iranian Central Obesity Making Dietary Pattern (rich in cruciferous vegetables, green leafy vegetables, soft drinks, tomatoes, other vegetables and vegetable oils) had larger waist circumference in comparison with the ones in the lower tertile (before controlling for age: 64.2 ± 9 vs. 61.6 ± 7 P = 0.03; after: 64.5 ± 0.8 vs. 61.5 ± 0.8, P = 0.009). However in lacto vegetarian dietary pattern (rich in legumes, potato, other vegetables, dough, high-fat dairy products and margarine), individuals in the upper tertile had significantly lower weight, waist circumference and body mass index (BMI) in comparison with the ones

  14. Association of Fetal Abdominal–Head Circumference Size Difference With Shoulder Dystocia: A Multicenter Study

    Directory of Open Access Journals (Sweden)

    Loraine Endres

    2015-10-01

    Full Text Available Objective - This study aims to determine if shoulder dystocia is associated with a difference in the fetal abdominal (AC to head circumference (HC of 50 mm or more noted on antenatal ultrasound. Study Design - A multicenter matched case–control study was performed comparing women who had shoulder dystocia to controls who did not. Women with vaginal births of live born nonanomalous singletons ≥ 36 weeks of gestation with an antenatal ultrasound within 4 weeks of delivery were included. Controls were matched for gestational age, route of delivery, and diabetes status. Results - We identified 181 matched pairs. Only 5% of the fetuses had an AC to HC of ≥ 50 mm. The proportion of AC to HC difference of ≥ 50 mm was significantly higher in shoulder dystocia cases (8% than controls (1%, p = 0.002. With multivariate regression, the three significant factors associated with shoulder dystocia were AC to HC ≥ 50 mm (odds ratio [OR], 7.3; confidence interval [CI], 1.6–33.3; p = 0.010, femur length (OR, 1.1; CI, 1.0–1.2; p = 0.002, and induced labor (OR, 1.8; CI, 1.1–3.1; p = 0.027. Conclusion - A prenatal ultrasound finding of a difference in AC to HC of ≥ 50 mm while uncommon is associated with shoulder dystocia.

  15. Neck circumference predicts renal function decline in overweight women: A community-based prospective cohort study.

    Science.gov (United States)

    Yoon, Chang-Yun; Park, Jung Tak; Jhee, Jong Hyun; Kee, Youn Kyung; Seo, Changhwan; Lee, Misol; Cha, Min-Uk; Jung, Su-Young; Park, Seohyun; Yun, Hae-Ryong; Kwon, Young Eun; Oh, Hyung Jung; Han, Seung Hyeok; Yoo, Tae-Hyun; Kang, Shin-Wook

    2016-09-01

    Chronic kidney disease (CKD) is characterized by increased risks of morbidity and mortality. Upper-body subcutaneous fat, which is commonly estimated from the neck circumference (NC), was revealed to be the main reservoir of circulating nonesterified fatty acids in overweight patients. Despite a close association between NC and metabolic complications, the relationship of NC with renal function has not been fully investigated. In this study, the impact of NC on the development of incident CKD was elucidated.The data were retrieved from the Korean Genome and Epidemiology Study cohort. The subjects were followed at 2-year intervals from 2003 to 2011. Overweight was defined as a body mass index of ≥23 kg/m. A total of 4298 cohort subjects were screened. After exclusion, 2268 overweight subjects were included for the final analysis. The primary end point was incident CKD, which was defined as a composite of estimated glomerular filtration rate (eGFR) age was 36.3 ± 3.0 years, and 1285 (56.7%) were men. They were divided into 2 groups according to the median NC in male and female subjects, separately. In both sexes, hypertension (men, P associated with incident CKD development in female subjects after adjusting for multiple confounding factors (per 1 cm increase, hazard ratio [95% confidence interval] = 1.159 [1.024-1.310], P = 0.019) but not in male subjects.NC is independently associated with the development of CKD in overweight female subjects, suggesting that it could be a practical risk factor for CKD. PMID:27603403

  16. Hypertriglyceridemia and waist circumference predict cardiovascular risk among HIV patients: a cross-sectional study.

    Directory of Open Access Journals (Sweden)

    Peter M Janiszewski

    Full Text Available BACKGROUND: Although half of HIV-infected patients develop lipodystrophy and metabolic complications, there exists no simple clinical screening tool to discern the high from the low-risk HIV-infected patient. Thus, we evaluated the associations between waist circumference (WC combined with triglyceride (TG levels and the severity of lipodystrophy and cardiovascular risk among HIV-infected men and women. METHODS: 1481 HIV-infected men and 841 HIV-infected women were recruited between 2005 and 2009 at the metabolic clinic of the University of Modena and Reggio Emilia in Italy. Within each gender, patients were categorized into 4 groups according to WC and TG levels. Total and regional fat and fat-free mass were assessed by duel-energy x-ray absorptiometry, and visceral adipose tissue (VAT and abdominal subcutaneous AT (SAT were quantified by computed tomography. Various cardiovascular risk factors were assessed in clinic after an overnight fast. RESULTS: The high TG/high WC men had the most VAT (208.0 ± 94.4 cm(2, as well as the highest prevalence of metabolic syndrome (42.2% and type-2 diabetes (16.2%, and the highest Framingham risk score (10.3 ± 6.5 in comparison to other groups (p<0.05 for all. High TG/high WC women also had elevated VAT (150.0 ± 97.9 cm(2 and a higher prevalence of metabolic syndrome (53.3%, hypertension (30.5% and type-2 diabetes (12.0%, and Framingham risk score(2.9 ± 2.8 by comparison to low TG/low WC women (p<0.05 for all. CONCLUSIONS: A simple tool combining WC and TG levels can discriminate high- from low-risk HIV-infected patients.

  17. Changes in waist circumference and the incidence of diabetes in middle-aged men and women.

    Directory of Open Access Journals (Sweden)

    Tina Landsvig Berentzen

    Full Text Available BACKGROUND: Waist circumference (WC is positively associated with diabetes, but the association with changes in WC (DWC is less clear. We investigated the association between DWC and the subsequent risk of diabetes in middle-aged men and women, and evaluated the influence from concurrent changes in body mass index (DBMI. METHODOLOGY/PRINCIPAL FINDINGS: Data on 15,577 men and 20,066 women from the Danish Diet, Cancer and Health study were analyzed. Anthropometry was assessed in 1993-97 and 1999-02. Information on diabetes was obtained from The Danish National Diabetes Register. Hazard ratios (HR were calculated from Cox' proportional hazard models with individuals considered at risk from 1999-02 until December 31 2006. During 5.4 years of follow-up, 1,027 and 876 new cases of diabetes occurred among men and women, respectively. WC was positively associated with diabetes in both sexes also with adjustment for covariates and BMI. DWC was positively associated with diabetes in women, but not in men (HR per 5 cm change = 1.09 (1.04:1.15 in women, and 1.00 (0.94, 1.07 in men with adjustment for covariates, baseline WC, BMI and DBMI. Associations with DWC were not notably different in sub-groups stratified according to baseline WC or DBMI, or when individuals with diseases or diabetes occurring within the first years of follow-up were excluded. CONCLUSIONS/SIGNIFICANCE: While this study confirmed that WC is positively associated with the risk of diabetes in middle-aged men and women, it surprisingly showed that changes in WC were not associated with the subsequent risk of diabetes in men, and only weakly positively associated with the risk of diabetes in women. Accordingly, these findings suggest that a reduction in WC may be a weak or insufficient or target for prevention of diabetes in middle-aged men and women.

  18. DIAGNOSTIC VALUE OF SERUM PROGRP31-98 IN PATIENTS WITH SMALL-CELL LUNG CANCER

    Institute of Scientific and Technical Information of China (English)

    李昂; 杨谨; 李旭; 李蓉; 王一理; 司履生

    2003-01-01

    Objective To explore the clinical significance of serum level of pro-gastrin-releasing peptide 31-98 (ProGRP31-98) for small-cell lung cancer (SCLC), in comparison with neuron-specific enolase (NSE). Methods Serum level of ProGRP31-98 and NSE was measured by ELISA respectively in 30 patients with SCLC, 30 with non-small cell lung cancer (NSCLC), 15 with benign lung diseases and 15 normal subjects, additionally, 10 SCLC patients after having treatment with chemotherapy were included. The receiver operating characteristic (ROC) curve was used to set the cut-off value and evaluate the diagnostic accuracy. Results The serum level of ProGRP31-98 was higher in patients with SCLC than that in other groups. The SCLC patients with extensive disease had a higher value than the patients with limited disease. In SCLC patients with distant metastases, it was also higher than in those without. Increase in serum ProGRP31-98 and NSE was both seen in SCLC patients, but for the former one, the increase was of much greater compared to the normal controls. Given the cut-off value for ProGRP31-98 was 40ng*L-1 and for NSE 8μg*L-1, their sensitivity of diagnosis in SCLC was 73% and 60%, respectively. The area under ROC curve of ProGRP31-98 was significantly larger than that of NSE. All patients responded to chemotherapy showed marked decrease in ProGRP31-98. Conclusion ProGRP31-98 is a more specific and sensitive marker than NSE in the diagnosis of SCLC.

  19. Diagnostic performance and discriminative value of the serum ferritin level for predicting preterm labor

    Directory of Open Access Journals (Sweden)

    Mino Movahedi

    2012-01-01

    Full Text Available Background: The measuring serum ferritin level as a sensitive inflammatory biomarker might effectively predict preterm delivery, but the power and the best cut-off point of this biomarker for predicting preterm labor in Iranian population has not been substantially identified. Our purpose was to determine what concentrations of serum ferritin could identify patients at risk for preterm delivery in Iranian population for the first time. Materials and Methods: This case control study involved 222 singleton pregnancies that were referred to referral university hospitals clinics in Isfahan. Women with spontaneous preterm delivery before 24-26 weeks (preterm delivery group, n = 69 and those who delivered at term (term delivery group, n = 153 were compared with respect to serum ferritin concentration. Venous blood samples were analyzed for the serum ferritin level using the ferritin quantitative test system-sensitive for the normal ferritin range. Results: Women who delivered before 37 weeks had a higher mean serum ferritin concentration than those who delivered after 37 weeks of gestation (26.7 ± 5.5 ng/mL versus 19.8 ± 3.6 ng/mL, P<0.001. A serum ferritin level of 22.5 ng/mL yielded the best combination with sensitivity of 78.3%, specificity of 83.0%, positive predictive value of 67.5%, and negative predictive value of 89.4% for prediction of preterm delivery. Conclusion: The serum ferritin level provides an appropriate discrimination in predicting preterm delivery with an optimal cut-off value of 22.5 ng/mL in Iranian population.

  20. Value of assessing adrenocorticotropic hormone (ACTH levels in differential diagnosis of hypercorticism

    Directory of Open Access Journals (Sweden)

    Penezić Zorana

    2004-01-01

    Full Text Available Diagnosis and differential diagnosis of Cushing's syndrome remains a challenge in clinical endocrinology. The aim of this study was to establish the value of assessing adrenocorticotropic hormone (ACTH levels in differential diagnosis of hypercorticism using receiver operating characteristic (ROC curve. We have evaluated 114 patients with Cushing's syndrome testing the value of pathohistological examination and postoperative testing. The control group consisted of 53 obese healthy persons. ACTH level was determined using a commercial RIA (CIS, France. ACTH secreting pituitary adenoma was found in 56.14% examinees, ectopic secretion in 6.14%, cortisol secreting adrenal adenoma in 37.57%, and adrenal carcinoma in 6.14% of all patients with Cushing's syndrome. Basal ACTH level for pituitary adenoma was 107.29±75.69 pg/mL; for ectopic secretion 181.63±149.84 pg/mL; for adrenal adenoma 4.22±2.32 pg/mL; for adrenal carcinoma 5.50 ±7.72 pg/mL; and 34.76 ±10.07 pg/mL in control group. Testing the value of assessing ACTH the area under ROC curve was 0.9965±0.0071. Test sensitivity was 99.89% and test specificity was 97%. For ACTH cut-off level of 8 pg/mL, test sensitivity was 88.50%, with specificity of 99%. For ACTH cut-off level of 22 pg/mL, test sensitivity was 99.30%, with specificity of 98%. Our intermediate zone from 8 to 22 pg/mL confirms that assessment of ACTH level is a reliable tool in differential diagnosis of Cushing's syndrome.

  1. Umbilical Cord Serum 25-Hydroxyvitamin D Concentrations and Relation to Birthweight, Head Circumference and Infant Length at Age 14 Days

    DEFF Research Database (Denmark)

    Dalgård, Christine; Petersen, Maria Skaalum; Steuerwald, Ulrike;

    2016-01-01

    infants. In the third trimester, the pregnant women completed questionnaires, and clinical examination included birthweight, head circumference, and infant length at age 14 days. RESULTS: Fifty-three percent of the newborn population had UC 25(OH)D ... linear regression models with adjustment for pre-pregnancy BMI, sex, parity, gestational age, or infant age at examination, season of birth, smoking, gestational diabetes, examiner, and cohort identity, we found no relationship between birthweight or head circumference and UC 25(OH)D. However, infants...... with vitamin D status 50 nmol/L in models further adjusted for birthweight. CONCLUSION: Our data suggest that umbilical cord serum 25(OH)D concentrations are positively associated with infant length...

  2. Thigh and knee circumference, knee-extension strength, and functional performance after fast-track total hip arthroplasty

    DEFF Research Database (Denmark)

    Holm, Bente; Kristensen, Morten Tange; Husted, Henrik;

    2011-01-01

    OBJECTIVE: To (1) quantify changes in knee-extension strength and functional-performance at discharge after fast-track total hip arthroplasty (THA) and (2) investigate whether these changes correlate to changes in thigh and knee circumference (ie, swelling) or pain. DESIGN: A prospective......, descriptive, hypothesis-generating study. SETTING: A special unit for fast-track hip and knee arthroplasty operations at a university hospital. PARTICIPANTS: Twenty-four patients (20 women and 4 men; ages 69 ± 6.1 years) scheduled for primary unilateral THA. METHODS: All patients were evaluated before surgery...... and on the day of hospital discharge. MAIN OUTCOME MEASURES: Knee-extension strength, thigh and knee joint circumference, hip pain, and functional performance (Timed Up & Go, 30-Second Chair Stand, and 10-Meter Walk tests). RESULTS: All investigated variables changed significantly from before to after...

  3. Retrospective Analysis of the Relationship between Decline in FEV1 and Abdominal Circumference in Male Smokers: the Takahata Study

    OpenAIRE

    Sato, Masamichi; Shibata, Yoko; Abe, Shuichi; Inoue, Sumito; IGARASHI Akira; Yamauchi, Keiko; Aida, Yasuko; Kishi, Hiroyuki; Nunomiya, Keiko; Nakano, Hiroshi; Sato, Kento; Watanabe, Tetsu; Konta, Tsuneo; Ueno, Yoshiyuki; Kato, Takeo

    2012-01-01

    Background: Metabolic syndrome (Mets) is reportedly associated with chronic obstructive pulmonary disease (COPD). However, the relationship between abdominal circumference (AC) and decline in FEV1 has not been elucidated. We aimed to investigate this relationship among male current smokers. Methods: Spirometry was performed on subjects (n = 3,257) ≥ 40 years of age, who participated in a community-based annual health check in Takahata, Japan, from 2004 through 2006 (visit 1). Spirometry was r...

  4. Correlation of the Ratio of Upper Third to Lower Third Circumferences of the Chest with Obstructive Pattern in Spirometry

    OpenAIRE

    Alavi Foumani, Ali; Amin, Azin; Tangestani Nejad, Azita; Kazemnejad, Ehsan; Salamat, Fatemeh; Massahnia, Sara; Hassankhani, Amir; Khoshgozaran, Lida; Mirfallah Nasiri, Akram; Mohammadi, Mahsa

    2015-01-01

    Background: Obstructive Lung Diseases (OLDs), could lead to progressive hyperinflation of the lungs that cause increased work of breathing, impaired gas exchanges and functional limitations in patients. In this study, thoracic circumference of patients in upper and lower third were measured directly and the association of the upper to lower third width of chest with spirometric parameters was evaluated. Materials and Methods: In this cross-sectional study, five hundred twenty nine consecutive...

  5. The relation of small head circumference and thinness at birth to death from cardiovascular disease in adult life.

    OpenAIRE

    Barker, D J; Osmond, C.; Simmonds, S J; Wield, G A

    1993-01-01

    OBJECTIVE--To determine how fetal growth is related to death from cardiovascular disease in adult life. DESIGN--A follow up study of men born during 1907-24 whose birth weights, head circumferences, and other body measurements were recorded at birth. SETTING--Sheffield, England. SUBJECTS--1586 Men born in the Jessop Hospital. MAIN OUTCOME MEASURE--Death from cardiovascular disease. RESULTS--Standardised mortality ratios for cardiovascular disease fell from 119 in men who weighed 5.5 pounds (2...

  6. Changes in individual weight status based on body mass index and waist circumference in Hong Kong Chinese.

    Directory of Open Access Journals (Sweden)

    Lai Ming Ho

    Full Text Available Weight change predicted diseases and mortality. We investigate 3-year changes in individual body mass index (BMI and waist circumference in Hong Kong Chinese adults.In the Population Health Survey, 7084 adults in 2003 (baseline were followed up in 2006. Longitudinal anthropometric data were available in 2941 (41.5% for BMI and 2956 for waist circumference. Weight status and central obesity were based on objectively measured BMI and waist circumference using Asian standards.Mean BMI (SD increased from 22.8 (3.62 to 23.1 (3.95 (p<0.001 with 1.3 percentage point increase in prevalence of overweight and obesity (from 44.3% to 45.6%. One in 5 (22.0% normal or underweight baseline respondents became overweight or obese and a similar proportion (24.8% of overweight and obese respondents became normal or underweight. Prevalence of central obesity increased from 28.3% to 32.4% (p<0.001 with a non-significantly greater increase in women (30.0% to 38.1% than men (23.0% to 26.1% (p=0.63. A higher proportion of centrally obese respondents returned to normal (29.4% than normal respondents developing central obesity (17.4%.This is one of the few studies in Chinese, which found dynamic longitudinal changes (increase/stable/decrease in individual weight status and waist circumference. Future studies with better follow-up and investigating the causes of such changes are warranted.

  7. Scale Marking Method on the Circumference of Circle Elements for Astronomical Instruments in the Early Joseon Dynasty

    Science.gov (United States)

    Mihn, Byeong-Hee; Lee, Ki-Won; Ahn, Young Sook; Lee, Yong Sam

    2015-03-01

    During the reign of King Sejong (世宗, 1418-1450) in the Joseon Dynasty, there were lots of astronomical instruments, including miniaturized ones. Those instruments utilized the technical know-how acquired through building contemporary astronomical instruments previously developed in the Song(宋), Jin(金), and Yuan(元) dynasties of China. In those days, many astronomical instruments had circles, rings, and spheres carved with a scale of 365.25, 100, and 24 parts, respectively, on their circumference. These were called the celestial-circumference degree, hundred-interval (Baekgak), and 24 direction, respectively. These scales are marked by the angular distance, not by the angle. Therefore, these circles, rings, and spheres had to be optimized in size to accomodate proper scales. Assuming that the scale system is composed of integer multiples of unit length, we studied the sizes of circles by referring to old articles and investigating existing artifacts. We discovered that the star chart of Cheonsang yeolcha bunyajido was drawn with a royal standard ruler (周尺) based on the unit length of 207 mm. Interestingly, its circumference was marked by the unit scale of 3 puns per 1 du (or degree) like Honsang (a celestial globe). We also found that Hyeonju ilgu (a equatorial sundial) has a Baekgak disk on a scale of 1 pun per 1 gak (that is an interval of time similar to a quarter). This study contributes to the analysis of specifications of numerous circular elements from old Korean astronomical instruments.

  8. The Value of Value

    DEFF Research Database (Denmark)

    Sørensen, Asger

    parts of business ethics given prominence to especially one term, namely `value'. The question that interests me is the following: What does the articulation of ethics and morality in terms of values mean for ethics and morality as such. Or, to put the question in a more fashionably way: What is the...... value of value for morality and ethics?To make things a bit more precise, we can make use of the common distinction between ethics and morality, i.e. that morality is the immediate, collective and unconscious employment of morals, whereas ethics is the systematic, individual and conscious reflections of...... morals and morality.2 The main question is then, what the use of `value' as the key-term in moral discourses means to morality as such. Accepting ethics as a part of morality - since one cannot be moral without sometimes reflecting on the validity of the morality employed andexperienced - I have...

  9. Adding value(s)

    DEFF Research Database (Denmark)

    Carré, David

    2015-01-01

    Most economic inquires revolve around agents making decisions. Getting the ‘best value’, it is assumed, drives such decisions: gaining most while risking least. This assumption has been debunked by showing that people does not always choose neither maximum benefit nor less risk (Kahneman & Tversky......, 1992). In response, behavioral economics (Camerer, 1999) has shown that agents have values other than optimization underpinning their decisions. Therefore, concerns arose regarding which values are guiding the agent but not about how such values became relevant for the agent. In this presentation, I...... will explore the consequences of shifting to the latter perspective, i.e. looking for the generative framework of values. Here I argue that economic behavior should also be seen as a sense-making process, guided by values that are chosen/rejected along with fellow human beings, in specific socio...

  10. Skin fold thickness at abdomen: a simple anthropometric measurement may compliment metabolic syndrome definition in patients with normal waist circumference

    Institute of Scientific and Technical Information of China (English)

    Toan C Nguyen; Thai Q Ngo; Son V Nguyen; Hieu T Luong; Khoa TA Pham; Cong D Nguyen

    2006-01-01

    Backgroud and Objectives Previous studies have reported that skin fold thickness (SF) strongly correlated with insulin resistance in the metabolic syndrome (MetS). In this study, we developed a MetS definition by SF at A8 point (SFA8) on Erdheim diagram(MetSSFA8) in essential hypertensive patients. Subjects and Methods Medical records of 268 essential hypertensive patients (126males and 122 females) were analyzed, including 210 non-diabetic patients (NDM group) and 58 patients with diabetes (DM group).The mean age was 61.4 ± 9.9 and 59.0 ± 11.0 years, respectively. The control group consisted of 90 non-diabetic, non-hypertensive patients with a mean age of 58.0 ± 11.3 years. The proposed MetSSFA8 definition included SFA8 specific values ( ≥30 mm in female and ≥27 mm in male) and at least two of the following: raised triglyceride levels ( ≥1.7 mmol/L), or specific treatment for this lipid abnormality; raised blood pressure (SBP≥130 mmHg and/or DBP≥85 mmHg), or treatment of previously diagnosed hypertension;reduced HDL-cholesterol (< 1.03 mmol/L in men, <1.29 mmol/L in women), or specific treatment for this lipid abnormality; raised fasting plasma glucose (≥5.6 mmol/l), or previously diagnosed DM. Metabolic Syndrome by the National Cholesterol Education Program and International Diabetes Federation definitions were determined with abdominal obesity defined by Asia-Pacific criteria for waist circumference (NCEPA and IDFA). Results The percentage of MetS as defined by NCEPA, IDFA and MetSSFA8 in NDM group was lower than that of NCEPA, IDFA and MetSSFA8 in DM group [OR=7.7 (95%CI, 2.9-20.2) and 2.5 (95%CI, 1.4-4.8) and 2.7(95%CI, 1.3-5.6), respectively] and higher than that of the control group [OR=53.3 (95%CI, 16.7-170.6), 5.8 (95%CI, 2.6-13.2) and18.8 (95%CI, 7.3-48.7), respectively]. The percentage of MetS by NCEPA, IDFA and MetSSFA8 in males in NDM group was lower than the percentage of MetS by NCEPA, IDFA and MetSSFA8 in females in NDM group (50

  11. Waist Circumference and Waist-to-Hip Ratio in Adult Igbo’s of Nigeria: Interrelation with Risk of Cardiovascular Disease

    OpenAIRE

    G. S. Oladipo; P.A. Akande, K.C. Anugweje and I.G. Osogba

    2011-01-01

    Waist circumference and waist to hip ratio are used as indicators of abdominal obesity in population studies. This study was carried out to predict if the Igbo ethnic groups are at a risk of cardiovascular disease. A total of 800 subjects were randomly selected, 400 males and 400 females between age range 20-65 years. A measuring tape was used to measure their waist and hip circumference to get its ratio. Their blood pressure and body mass index were also determined. The mean waist circumfere...

  12. [Comparative studies on the value of acute phase proteins and CA-125 for monitoring patients with ovarian cancer].

    Science.gov (United States)

    Kölbl, H; Tatra, G; Schieder, K; Bieglmayer, C

    1988-12-01

    In a study of 71 patients with malignant ovarian tumors serum levels of CA-125, C-reactive protein (CRP), alpha-1-antitrypsin and coeruloplasmin were analysed. In contrast to the tumor-free group significantly higher values of CA-125, CRP and alpha-1-antitrypsin were found in the group with recurrent disease. However, the serum-concentrations of coeruloplasmin remained unchanged in both groups. In the group with progressive disease the median values of CA-125 were greater than 65 U/ml and of CRP greater than 12 micron/ml, respectively. The median serum concentrations of alpha-1-antitrypsin (2 to 4 mg/ml) and coeruloplasmin (150 to 600 ng/ml) did not reach their cut-off levels. Beside CA-125 the analysis of CRP and alpha-1-antitrypsin is an additional helpful procedure for the monitoring of patients with malignant ovarian tumors.

  13. Usefulness of Total PSA Value in Prostate Diseases Diagnosis

    Science.gov (United States)

    Prcic, Alden; Begic, Edin; Hiros, Mustafa

    2016-01-01

    Introduction: Analysis of total value of prostate specific antigen (PSAT), with the unavoidable digital rectal examination (DRE) is the basis of prostate cancer detection. Aim: The aim of this study was to determine the specificity and sensitivity of the total value of PSAT in the diagnosis of prostate cancer. The aim was also to determine the significance of PSAT in diagnosis of benign prostate hyperplasia, precancerous conditions and inflammatory and atrophic changes of the prostate. Material and methods: Data were collected from the “Register of PH biopsy” of Clinic of Urology, CCU Sarajevo. Results: Analysis of correlation between the diagnosis and the PSAT value shows statistically significant negative correlation (r =-0,186; p = 0.006) in the sense that the value of the PSAT is highest in cancer patients, and the lowest in patients with benign prostatic hyperplasia. PSAT increases with age (r = 0.152; p = 0.025). For prostate cancer optimal sensitivity and specificity for PSAT value occurs at cut off value of> 8.6 ng /mL. Values lower than 2 ng/mL and higher than 10 ng/mL are most specific, and PPV increases with increasing value of PSAT. PSAT at values of 10 ng/mL are at high levels of specificity, and value > 10 ng / mL is also of high sensitivity in the detection of prostate cancer, and in this moment these values represent the optimal mode for the subsequent treatment. Conclusion: PSAT has a relative significance in the detection of prostate cancer, and should not be used as a guideline without DRE. PMID:27482127

  14. A Study on Causes and Types of Abnormal Increase in Infants’ Head Circumference in Kashan/Iran

    Directory of Open Access Journals (Sweden)

    Ahmad TALEBIAN

    2013-08-01

    Full Text Available How to Cite This Article: Talebian A, Soltani B, Moravveji AR, Salamati L, Davami M. A Study on Causes and Types of Abnormal Increase in infants’ Head Circumference in Kashan/Iran. Iran J Child Neurol. 2013 Summer; 7(3: 28- 33. ObjectiveHead circumference is a valuable index of brain growth and its disturbances can indicate different disorders of nervous system. Abnormal increased head circumference (macrocephaly is common and observed in about 2% of infants. In this study, the causes and clinical types of abnormal increase in infants’ head circumference were investigated in Kashan, Iran.Materials & MethodsThis cross-sectional study was performed on 90 infants less than 2 years of age with abnormal increase in head circumference in Kashan, during 2009- 2011. The data were collected by history taking, physical examination, growth chart, and imaging.Results65 (72% cases out of 90 infants were male and 25 ( 28% cases were female. Fifty-three (58.8% cases had familial megalencephaly, 30 (33.4% had hydrocephalus, and other causes were observed in 7 (7.8% cases. Eighty-three percent of Infants with familial megalencephaly and 50% with hydrocephalus had normal fontanels. In 90.6% of cases withfamilial megalencephaly, family history for large head was positive. Motor development was normal in 100% of cases with familial megalencephaly and 76.7% of hydrocephalic infants.Conclusion Familial megalencephaly was the most common cause of macrocephaly in the studied infants, and most of them had normal physical examination and development, so, parental head circumferences should be considered in the interpretation of infant’s head circumference and in cases of abnormal physical examination or development, other diagnostic modalities, including brain imaging should be done. References1. Lunde A, Melve KK, Gjessing HK, Skjaerven R, Irgens LM. Genetic and environmental influences on birth weight, Birth length, Head circumference, and gestational age by

  15. 高血压儿童腰围发育曲线及其与高血压相关性的研究%Relationship between waist circumference development curve of children and hypertension and risk of hypertension

    Institute of Scientific and Technical Information of China (English)

    朱鹏; 王法艳; 赵玉秋; 王磊; 唐青松; 陶芳标

    2012-01-01

    centile curves. Optimal WC cutoffs were determined by comparing the performance of different percentile sets of WC cutoffs in predicting hypertension risk factors.Results The fitted LMS curves of WC for the group of boys with hypertension deviate in parallel from that for the corresponding curve in the entire boy study population with higher WC.The WC curves for the group of girls with hypertension gradually upward deviated from the corresponding curve before 12 years of age and then gradually returned to the corresponding curve. WC of boys at the percentiles of 60 was already associated with an increased risk of hypertension and hazard ratio of WC at percentiles of 60,70,80,and 90 increased from 1.88 (95% CI: 1.18-2.99) to 4.87 (95% CI:3.31-7.16). WC of girls at the percentiles of 70 was already associated with an increased risk of hypertension and hazard ratio of WC at percentiles of 70,80,and 90 increased from 1.71 (95% CI: 1.07-2.73) to 3.32 ( 95% CI: 2.16-5.09 ). Conclusions The WC growth trajectory of children with hypertension varies with gender.WC is an independent predictor of childhood hypertension,even when it is well within what is now defined as the normal range of WC.Thus,it is helpful to prevent the risk of cardiovascular disease of children using the paramenter that WC cut-off level lower than 85th percentile.

  16. Combined use of waist and thigh circumference to identify high-risk, abdominally obese HIV+ patients

    Directory of Open Access Journals (Sweden)

    T O'Neil

    2012-11-01

    Full Text Available Background We examined whether the combination of waist (WC and thigh (ThC circumference improves the prediction of visceral adipose tissue (VAT over WC and ThC independently in HIV-infected men and women after correction for age. We also examined the independent associations between VAT, and the combination of WC and ThC with metabolic risk factors, metabolic syndrome, type 2 diabetes mellitus (T2DM and prior cardiovascular events in HIV-infected individuals. Methods Consecutive patients attending the metabolic clinic of the University of Modena in Italy between 2005 and 2009 were recruited in this cross-sectional study. Total and regional fat mass and lean mass were quantified using DEXA. A single CT image was taken for quantification of VAT and CAC. Prior cardiovascular events which occurred within a 5-year period of the clinical evaluation were analysed. A cross-fold test was used to explore different models in the ability to predict VAT in order to build an algorithm for VAT estimation (e-VAT. Regression analysis were performed to determine the univariate and multivariate relations between WC, ThC, and age with VAT. A comparison of beta coefficients for VAT and e-VAT to predict cardio-metabolic risk and events were performed using multivariable regression models after correction for BMI and age. Results 2322 HIV-infected patients were recruited: median duration of HIV infection was 182 months (IQR 126–236; median nadir and current CD4 were 172 (IQR 68–262 and 515.5 (IQR 369–700 and 75% of them had undetectable HIV1-VL. In this abstract only the results of men will be presented. Men (n=1481 had a mean age of 45.9±7.3 years, a BMI of 24.1 ± 3.8 kg/m2, a WC of 88.0±10.1 cm and a ThC of 47.8±4.3 cm. e-VAT algorithm for men was: (5.44*WC−(1.35*ThC−(1.70*age−348.1 In men, at multivariable regression models after correction for BMI and age, e-VAT was concordant to VAT in predicting HOMA, MetS Risk, prior cardiovascular events (OR=1

  17. Is high body fat estimated by body mass index and waist circumference a predictor of hypertension in adults? A population-based study

    Directory of Open Access Journals (Sweden)

    Silva Diego Augusto Santos

    2012-12-01

    Full Text Available Abstract Background The aim of this study was to assess the predictive capacity of body fat percentage (%BF estimated by equations using body mass index (BMI and waist circumference (WC to identify hypertension and estimate measures of association between high %BF and hypertension in adults. Methods This is a cross-sectional population-based study conducted with 1,720 adults (20–59 years from Florianopolis, southern Brazil. The area under the ROC curve, sensitivity, specificity, predictive values, and likelihood ratios of cutoffs for %BF were calculated. The association between %BF and hypertension was analyzed using Poisson regression, estimating the unadjusted and adjusted prevalence ratios and 95% CI. Results The %BF equations showed good discriminatory power for hypertension (area under the ROC curve > 0.50. Considering the entire sample, the cutoffs for %BF with better properties for screening hypertension were identified in the equation with BMI for men (%BF = 20.4 and with WC for women (%BF = 34.1. Adults with high %BF had a higher prevalence of hypertension. Conclusions The use of simple anthropometric measurements allowed identifying the %BF, diagnosing obesity, and screening people at risk of hypertension in order to refer them for more careful diagnostic evaluation.

  18. Pilates versus resistance exercise on the serum levels of hs-CRP, in the abdominal circumference and body mass index (BMI in elderly individuals

    Directory of Open Access Journals (Sweden)

    Maria Adesilda Silva Pestana

    2016-06-01

    Full Text Available Recent studies have shown that the elderly exhibit a subclinical state of inflammation associated with increased adipose tissue and several comorbidities. To compare the effects of mat Pilates based exercises and resistance exercise on the serum levels of reactive C protein of high sensitivity (hs-CRP, in the abdominal circumference (AC and the body mass index (BMI in the elderly. It is a randomised clinical trial with a sample of 78 elderly individuals (median age 69 years. The active independent variable investigated was nature of treatment intervention (Pilates mat based exercises vs resistance exercise, and the dependent variables were hs-CRP level, AC and BMI. The statistical analysis used Wilcoxon signed rank and Mann-Whitney tests. The correlation between the continuous variables was assessed using Spearman’s coefficient of correlation. The data were analysed using SPSS software version 17.0, and probability values lower than 5% (p< 0.05 were considered statistically significant. Mat Pilates based exercises exhibited reductions in serum hs-CPR level (Wilcoxon signed rank test; z = -2.466, p = 0.01, BMI (Wilcoxon signed rank test; z = -3.295, p = 0.001 and AC (Wilcoxon signed rank test; z = -3.398, p = 0.01. Mat Pilates based exercises promoted a significant reduction of the serum hs-CRP levels and anthropometric measurements in elderly individuals.

  19. Arnebia euchroma ointment can reduce abdominal fat thickness and abdominal circumference of overweight women: A randomized controlled study

    Directory of Open Access Journals (Sweden)

    Mansour Siavash

    2016-01-01

    Full Text Available Background: Obesity is a worldwide health problem which is associated with a lot of complications. One of these comorbidities is the metabolic syndrome that is in correlation with abdominal fat thickness and waist circumference. Various methods were used to reduce abdominal fat thickness such as liposuction. A noninvasive method is the topical agent. In this study, we investigated the effectiveness of Arnebia euchroma (AE ointment on the abdominal fat thickness. Materials and Methods: This study was a double-blind clinical trial which was done at the endocrinology clinic in Khorshid Hospital, Isfahan, Iran, in 2014. After explaining the procedure and obtaining informed consent, the candidates were randomly divided into the case and control groups. The participants of the case and control groups applied AE ointment or placebo for 6 weeks on their abdominal area. Body mass index, waist and buttock circumference, and abdominal fat thickness were measured in both case and control groups at their first visit and then at the next 2, 4, and 6 weeks. We used t-test for comparing parametric variables between groups, paired t-test for changes from baseline to final, and repeated measure ANOVA for changes at different steps. Results: Sixty female candidates participated in this study (thirty in each group. Ten patients left the study and fifty participants finished the trial. At the end of the study, participants had a significant weight loss (2.96 ± 1.6 kg, P < 0.001 that was slightly more in the case group (3.15 ± 1.5 kg vs. 2.75 ± 1.7, P = 0.375. Abdominal circumference also decreased significantly in the participants (11.3 ± 6.7 cm, P < 0.001, but the changes were more significant in the case group (13.9 vs. 6.5 cm, P = 0.004. Similarly, abdominal fat thickness decreased significantly in the participants (2.3 ± 1.1 cm, P < 0.001, although changes were not significantly different between two groups (2.53 vs. 2.04 cm, P = 0.139. Conclusion: Topical

  20. Pregestational body mass index is related to neonatal abdominal circumference at birth--a Danish population-based study

    DEFF Research Database (Denmark)

    Tanvig, M; Wehberg, S; Vinter, C A;

    2013-01-01

    OBJECTIVES: To examine the impact of maternal pregestational body mass index (BMI) and smoking on neonatal abdominal circumference (AC) and weight at birth. To define reference curves for birth AC and weight in offspring of healthy, nonsmoking, normal weight women. DESIGN: Population-based study....... SETTING: Data from the Danish Medical Birth Registry. POPULATION: All live singletons without congenital malformations in Denmark 2004-10. METHODS: Data on 366 886 singletons at 35(+0) to 41(+6)  weeks(+days) of gestation were extracted and analysed using multivariate linear regressions. MAIN OUTCOME...

  1. Anatomical location for waist circumference measurement in older adults: a preliminary study Localización anatómica para medición de la circunferencia de la cintura en ancianos: estudio preliminar

    Directory of Open Access Journals (Sweden)

    R.S. Guerra

    2012-10-01

    Full Text Available Background and objective: Different anatomical locations for measuring waist circumference are described in the literature but the best anatomical location for measuring waist circumference in older adults has yet to be established. Thus, an exploratory study was developed to examine which waist circumference best explains abdominal fat mass in older adults. Methods: Waist circumference was measured in the ten different anatomical locations from a sample of 51 older adults. The choice of which waist circumference measurement best associated with abdominal fat mass was evaluated with dual-energy X-ray absorptiometry (DXA measurement of abdominal fat. Results: Mean waist circumference values varied from 81.9 (standard deviation (SD: 8.7 cm and 91.5 (SD: 11.2 cm for women and between 95.7 (SD: 8.2 cm and 101.5 (SD: 10.4 cm for men, according to the different anatomical locations. The coefficients of determination of the linear regression model varied from 0.545 to 0.698 (p Fundamento y objetivo: La literatura describe diferentes localizaciones anatómicas para medir la circunferencia de la cintura. Sin embargo, la mejor localización anatómica para tal medición en ancianos aun no se ha establecido. El presente estudio exploratorio pretende determinar cuál es el lugar anatómico que se asocia mejor entre la medida del perímetro de la cintura y el tejido adiposo abdominal en esta población. Método: Se midió la circunferencia de la cintura en diez lugares anatómicos diferentes, en una muestra de 51 ancianos. El tejido adiposo abdominal se determinó mediante absorciometría de doble energía de rayos X (DXA. Resultados: Los valores medios de la circunferencia de cintura, teniendo en cuenta las mediciones en distintos lugares anatómicos, variaron de 81,9 cm (desviación estándar (DE: 8,7 a 91,5 cm (DE: 11,2 entre las mujeres y de 95,7 cm (DE: 8,2 a 101,5 cm (DE: 10,4 entre los hombres. Los coeficientes de determinación del modelo de regresi

  2. When the diameter of the abdominal aorta should be considered as abnormal? A new ultrasonographic index using the wrist circumference as a body build reference

    International Nuclear Information System (INIS)

    Purpose: To use US to evaluate the normal values of aortic diameter (AD), stratifying the population by age, gender and body build, as measured using wrist circumference (WC). Materials and methods: Between April 2010 and February 2012, consecutive patients ≥ 30 years of age, without history of abdominal aortic aneurysm (AAA) were prospectively enrolled. They underwent an abdominal ultrasonography for reasons other than aorta evaluation. AD was measured at the infrarenal (AD1), intermediate (AD2), and iliac bifurcation (AD3) levels: a diameter ≥ 3 cm was considered as an aneurysm. The maximal aortic diameter (ADmax) was measured for AAA patients. WC was measured; AD/WC ratio was calculated and presented in percentage: the range of normal values was obtained excluding AAA cases and calculated as mean ± 1.96 × standard deviation. Pearson correlation coefficient was used. Results: We recruited 1200 patients, 15 (1.25%; age range = 64–86 years) had AAA. AD ranges of the other patients were: AD1 = 0.74–1.84 cm, AD2 = 0.78–1.85 cm, and AD3 = 0.68–1.76 cm for females; AD1 = 0.86–2.02 cm, AD2 = 0.91–2.08 cm, and AD3 = 0.84–1.95 cm for males. AD2/WC ratio of non-AAA patients range was 4–15%, with only one outlier at 18%, while ADmax/WC ratio of AAA patients range was 15–35% (p 1, r = 0.318, p 2 and r = 0.280, p 3). Conclusion: The definition of normal AD should consider body build. An AD2/WC ratio of 15% may be regarded as a threshold to differentiate AAA- from non-AAA patients. Patients with AD2/WC values comprised between 12% and 15% may be at risk for AAA

  3. The diagnostic value of pleural effusion ferritin and the ratio of it to serum ferritin in differentiating exudates from transudates

    International Nuclear Information System (INIS)

    To explore the diagnostic value of measuring the level of ferritin in pleural and peritoneal effusion for differentiating exudates from transudates, 128 effusion samples were initially detected for differentiating exudates from transudates by traditional method and Light's criteria. Ferritin in the effusions and serum ferritin were detected simultaneously, and the ratio of effusion ferritin (PFt) to serum ferritin (SFt) was counted. Based on the clinical data, the samples were divided into four groups and PFt and PFt/SFt were compared. At the same time, the sensitivity and specificity of PFt and PFt/SFt in differentiating exudates from transudates were compared with traditional method and Light's criteria. The results showed that in the groups of tuberculous pleurisy, non-tuberculous, benign pleurisy, and malignant tumor, the concentration of Ft in the effusions was significantly higher than that in the group of congestive heart failure and cirrhosis; and the Ft in exudates was significantly higher than that in transudates (P0.05). If the cut-off value was set up for Ft in the effusion as 100 μg/L and PFt/SFt ratio as 0.5, respectively, the differentiating sensitivity and specificity were 94.2% and 87.0%, respectively. Conclusion was that the concentration of PFt and PFt/SFt in exudates are higher than 100 μg/L and 0.5, respectively. On the contrary, they are lower than the cut-off level in transudates. PFt and PFt/SFt have high sensitivity and high specificity in differentiating exudates from transudates, and have great diagnostic value

  4. Prognostic value of interim 18F-FDG PET/CT in diffuse large B-cell lymphoma

    Institute of Scientific and Technical Information of China (English)

    Zhitao Ying; Xuejuan Wang; Yuqin Song; Wen Zheng; Xiaopei Wang; Yan Xie; Ningjing Lin

    2013-01-01

    Diffuse large B-cell lymphoma (DLBCL) is a heterogeneous disease.The prognostic factor currently used is not accurate enough to predict the outcomes of patients with DLBCL.The prognostic significance of interim PET/CT in DLBCL remains controversial.The aim of this study is to determine the predictive value of interim 18F-FDG PET/CT after first-line treatment in patients with DLBCL.Methods:Thirty-two patients with DLBCL underwent baseline,interim and post-treatment 18F-FDG PET/CT scans.Imaging results were analyzed for the survival of patients via software SPSS 13.0,retrospectively.Results:Thirty-one of the 32 patients were treated with R-CHOP regimen,and interim 18F-FDG PET/CT of 24 patients was performed after 2 cycles of treatment.After a median follow-up period of 16.7 months,the 2-year progression-free survival (PFS) rates were significandy different between the groups above and below SUVmax cut-off value of 2.5 (P=0.039).No significant differences were found in the 2-year PFS rates if SUVmax cut-offvalues were set as 2.0 and 3.0,respectively (P=0.360; P=0.113).Conclusions:Interim PET/CT could predict the prognosis of DLBCL patients with the SUVmax cut-off value of 2.5,but more clinical data should be concluded to confirm this conclusion.

  5. The Added Value of Medical Testing in Underwriting Life Insurance.

    Directory of Open Access Journals (Sweden)

    Jan Bronsema

    Full Text Available In present-day life-insurance medical underwriting practice the risk assessment starts with a standard health declaration (SHD. Indication for additional medical screening depends predominantly on age and amount of insured capital. From a medical perspective it is questionable whether there is an association between the level of insured capital and medical risk in terms of mortality. The aim of the study is to examine the prognostic value of parameters from the health declaration and application form on extra mortality based on results from additional medical testing.A history register-based cohort study was conducted including about 15.000 application files accepted between 2007 and 2010. Blood pressure, lipids, cotinine and glucose levels were used as dependent variables in logistic regression models. Resampling validation was applied using 250 bootstrap samples to calculate area under the curves (AUC's. The AUC was used to discriminate between persons with and without at least 25% extra mortality.BMI and the overall assessment of the health declaration by an insurance physician or medical underwriter showed the strongest discrimination in multivariable analysis. Including all variables at minimum cut-off levels resulted in an AUC of 0.710 while by using a model with BMI, the assessment of the health declaration and gender, the AUC was 0.708. Including all variables at maximum cut-off levels lead to an AUC of 0.743 while a model with BMI, the assessment of the health declaration and age resulted in an AUC of 0.741.The outcome of this study shows that BMI and the overall assessment of the health declaration were the dominant variables to discriminate between applicants for life-insurance with and without at least 25 percent extra mortality. The variable insured capital set by insurers as factor for additional medical testing could not be established in this study population. The indication for additional medical testing at underwriting life

  6. Locally advanced rectal cancer: Value of ADC mapping in prediction of tumor response to radiochemotherapy

    International Nuclear Information System (INIS)

    Purpose: To evaluate the diagnostic performance of quantitative apparent diffusion coefficient (ADC) measurements, in the assessment of the therapeutic response to chemo-radiation therapy (CRT) in patients with locally advanced rectal cancer, by analyzing post CRT values of ADC, in relation to tumor regression grade (TRG) obtained by histopathologic evaluation of the rectal specimen. Methods: This prospective study was approved by an Institutional Review Board, and informed consent was obtained from all patients. Thirty-one patients with locally advanced rectal cancer underwent pre and post CRT MR imaging at 1.5 T. ADC values were measured in regions of interest (ROIs) drawn independently by two radiologists, blinded to the pathology results, on three slices of the pre and post CRT DW-MR image sets with the corresponding T2 weighted images (T2WI) available for anatomic reference. The two readers’ measurements were compared for differences in ADC values, inter-observer variability (measured as the intraclass correlation coefficient; ICC) and the ADC distributions of responders vs non-responders. The diagnostic performance of ADC in the prediction of the response to CRT was evaluated by calculating the area under the ROC curve (AUC) and the optimal cut-off values. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were assessed. Results: The two readers showed an overall strong agreement in measuring ADC values. For both readers, no differences in ADC pre-treatment measurements were observed between responders and non-responders. For reader 1, the post-CRT ADC and the ΔADC presented the higher AUC (0.823 and 0.803, respectively), while Δ%ADC provided the lower AUC value (0.682). The optimal cutoff point was 1.294 s/mm2 for post-CRT measures (sensitivity = 86.4%, specificity = 66.7%, PPV = 86.4%, NPV = 66.7%), 0.500 for ΔADC (sensitivity = 81.8%, specificity = 66.7%, PPV = 85.7%, NPV = 60.0%) and 59.3% for

  7. Admission Values of D-dimer and C-reactive Protein (CRP) Predict the Long-term Outcomes in Acute Aortic Dissection.

    Science.gov (United States)

    Mori, Kentaro; Tamune, Hidetaka; Tanaka, Hiroyuki; Nakamura, Mitsuhiro

    2016-01-01

    Objective Admission D-dimer and C-reactive protein (CRP) values have been reported to predict the short-term outcomes in acute aortic dissection (AAD). However, the association between D-dimer values and the long-term outcomes has not been investigated. Methods The primary endpoints included events determined to be all-cause death, recurrence of aortic dissection, aortic rupture, and surgical intervention for the aortic aneurysm following the first hospital discharge. We performed a receiver operating characteristic analysis and determined the optimal cut-off levels of admission D-dimer, admission CRP and peak CRP values in terms of the sensitivity and specificity for predicting the presence of events. Using the optimal cut-off values, we performed a multiple Cox analysis and investigated the hazard ratio of admission D-dimer, admission CRP and peak CRP. Patients We retrospectively identified 173 AAD patients hospitalized between January 2005 and December 2013. Results A multiple Cox regression analysis revealed that the hazard ratios were 3.4 for admission D-dimer [95% Confidence Interval (CI) 1.5 to 7.3, p=0.004] and 2.7 for admission CRP (95% CI 1.2 to 5.5, p=0.014). Conclusion Admission D-dimer and CRP values may predict the long-term outcomes in AAD. Moreover, admission D-dimer values may be a valuable marker to predict not only the short-term outcomes, but also the long-term outcomes in AAD. PMID:27432090

  8. Higher prevalence of smoking and lower BMI, waist circumference, cholesterol and triacylglyceride levels in Prague's homeless compared to a majority of the Czech population

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    Rambousková Jolana

    2007-04-01

    Full Text Available Abstract Background Homeless people have higher morbidity and mortality rates than the general population. Research has shown that cardiovascular disease is the leading cause of death in older homeless adults. This study was undertaken to describe the prevalence of cardiovascular risk factors in the homeless population in Prague. Methods Data was obtained from a cross-sectional study carried out in 2003. Body mass index (BMI, waist circumference (WC, total cholesterol (TC, triacylglycerides (TAG and smoking habits were assessed. The homeless participants in the study were recruited from a homeless center run by a Prague charitable organization called Naděje ("Hope" and at Prague's main railway station. Most participants were assessed at the Naděje center (134 persons while the rest were assessed at Prague's Bulovka University Hospital (67 persons. Results A total of 201 homeless (174 males and 27 females aged 19 – 70 years were examined. Mean values of BMI, WC, TC and TAG in homeless men and women were within normal limits. Compared with the majority of the Czech population, the homeless had significantly lower mean levels of TC and TAG and lower BMI and WC values. When compared to the majority of the Czech population, the incidence of smoking among the homeless was significantly higher. Among smokers in both populations, no differences were found in the number of cigarettes smoked per day. Conclusion Classical cardiovascular risk factors such as TC, TAG, BMI and WC, are significantly lower in Prague's homeless minority than in the majority of the Czech population. However, the prevalence of smoking is much higher in the homeless population.

  9. Relationship Between Scrotal Circumference, Testicular Growth and Semen Quality Parameters in Guzerat Breed Bulls, from Puberty to 36 Months of Age

    Directory of Open Access Journals (Sweden)

    Jair Pérez Osorio

    2014-06-01

    Full Text Available Objective: To investigate the association between scrotal circumference size and sperm characteristics in 194 males of Guzerat breed. Methods: The bulls were divided by age groups from 12 to 36 months of age. The length and width of the testicle and scrotal circumference were measured. Semen was collected from the animals that showed a circumference ≥ 19 cm through transrectal electrostimulation in order to induce ejaculation. The characteristics assessed in the semen were motility, speed, sperm concentration and presence of rounded cells. Results: the correlation between the scrotal circumference with the sperm motility by group of age was positive (r = 0.94; p < 0.005. The present study showed that the presence of proximal cytoplasmic droplet, the rounded cells in the semen and the defects on the head of the spermatozoids are objective evaluation features, which can be used for early selection of sperm production in Guzerat males. Conclusions: The production of sperm with normal rates in the Guzerat breed is achieved when males reach the age of 28 months and a scrotal circumference close to 30 cm.

  10. The relationship of violence and traumatic stress to changes in weight and waist circumference: longitudinal analyses from the study of women's health across the nation.

    Science.gov (United States)

    Garcia, Lorena; Qi, Lihong; Rasor, Marianne; Clark, Cari Jo; Bromberger, Joyce; Gold, Ellen B

    2014-05-01

    This article investigates the associations of violence and traumatic stress with changes in weight and waist circumference, hypothesizing that violence in midlife would be associated with increases or decreases in weight and waist circumference. The longitudinal cohort of the Study of Women's Health Across the Nation comprised the study sample, which included an ethnically/racially and socially diverse group of 2,870 women between the ages of 42 and 52 years at baseline. Women were followed annually for 10 years, and assessments included weight and waist circumference measures and data on violence, health outcomes, and confounders. At baseline, 8.6% Caucasian, 10.8% African American, 9.2% Chinese, and 5.0% Japanese women reported violence and traumatic stress. Reporting violence and traumatic stress during follow-up was significantly associated with weight gain (odds ratio [OR] = 2.39, 95% confidence interval [CI] = [1.28-4.47]), weight loss (OR = 3.54, 95% CI = [1.73-7.22]), and gain (OR = 2.44, 95% CI = [1.37-4.37]) or loss (OR = 2.66, 95% CI = [1.23-5.77]) in waist circumference, adjusting for age, race/ethnicity, education, marital status, and smoking. Violence and traumatic stress against midlife women were associated with gains or losses in weight and waist circumference. PMID:24212978

  11. The Relationship of Violence and Traumatic Stress to Changes in Weight and Waist Circumference: Longitudinal Analyses from the Study of Women’s Health Across the Nation (SWAN)

    Science.gov (United States)

    Garcia, Lorena; Qi, Lihong; Rasor, Marianne; Gold, Ellen B; Clark, Cari; Bromberger, Joyce

    2013-01-01

    Objective To investigate the associations of violence and traumatic stress with changes in weight and waist circumference, hypothesizing that violence in midlife would be associated with increases or decreases in weight and waist circumference. Methods The longitudinal cohort of the Study of Women’s Health Across the Nation (SWAN) comprised the study sample, which included an ethnically/racially and socially diverse group of 2870 women between the ages of 42 and 52 years at baseline. Women were followed annually for 10 years and assessments included weight and waist circumference measures and data on violence, health outcomes and confounders. Results At baseline, 8.6% Caucasian, 10.8% African American, 9.2% Chinese and 5.0% Japanese women reported violence and traumatic stress. Reporting violence and traumatic stress during follow-up was significantly associated with weight gain (OR=2.39, 95% CI= 1.28, 4.47), weight loss (OR=3.54, 95% CI=1.73, 7.22), and gain (OR=2.44, 95% CI =1.37, 4.37) or loss (OR=2.66, 95% CI=1.23, 5.77) in waist circumference, adjusting for age, race/ethnicity, education, marital status, and smoking. Conclusion Violence and traumatic stress against midlife women was associated with gains or losses in weight and waist circumference. PMID:24212978

  12. Reasons for changes in the value of unit pressure of compression products supporting external treatment

    Science.gov (United States)

    Kowalski, K.; Ilska, A.; Kłonowska, M.

    2016-07-01

    The paper presents the basics of modelling compression products with intended values of unit pressure for body circumferences with fixed and variable radius of curvature. The derived relationships referring to the dimensions of the fabric's circumferences in a relaxed state of the product were based on Laplace law, local values of the radius of curvature, and the characteristics of stretching and relaxing (deformation) of the knitted fabric, described by experimental relation for the stress and relaxation phase for the 6th hysteresis loop, taking into account confidence intervals. The article indicates the possibilities of using 3D scanning techniques of the human body to identify the radius of curvature of various circumference of the human silhouette, for which the intended value of the unit pressure is designed, and quantitative changes in the body deformation due to compression. Classic method of modelling and design of compression products, based on a cylindrical model of the human body does not provide in each case the intended value of unit pressure, according to specific normative requirements, because it neglects the effect of different values of the radius of curvature of the body circumference and the properties of the viscoelastic knitted fabrics. The model and experimental research allowed for a quantitative and qualitative assessment of the reasons for the changes in the value of unit pressure of compression products supporting the process of external treatment.

  13. The uncertainty analysis of cigarette circumference gauge measurement%卷烟圆周仪测量结果的不确定度分析

    Institute of Scientific and Technical Information of China (English)

    韦德芬

    2014-01-01

    In order to obtain the measurement efficacy of cigarette circumference exactly, a large number of experimental data and the major factors that influence the uncertainty during the measurement of cigarette circumference were comprehensively analyzed, and the modeling of uncertainty, individual uncertainty analysis and the evaluating process of compound uncertainty and expanded uncertainty of cigarette circumference measurement were described in detail.%为确切了解卷烟圆周的测量质量,通过大量实验数据以及对卷烟圆周检测过程中的不确定度主要影响因素的综合分析。该文详细介绍卷烟圆周不确定度的建模、单项不确定度的分析、合成不确定度、扩展不确定度的评定过程。

  14. 正常胎儿腹围的MRI测量研究%MRI Measurements of Normal Fetal Abdominal Circumference

    Institute of Scientific and Technical Information of China (English)

    陈添峰; 朱铭

    2012-01-01

    Purpose: To measure the abdominal circumference(AC) on MRI in normal fetus, and to analyze the relationship between AC and gestational age(GA). Methods: The abdominal circumference was measured on MR images of 307 fetus without apparently abnormal structure. Their ages were ranged from 24 to 38 gestational weeks. The relationship between AC and GA was analyzed by correlation and regression analysis. Results: The regression function of AC and GA was AC=- 53.324+10.727×GA (r2=0.808, P<0.01) . Conclusion: Fetal AC is correlated with GA. Measurement results provide a reference for evaluation of the development status of fetus.%目的:通过MRI精确测量胎儿腹围(AC),探讨其与孕周(GA)关系.方法:MRI扫描未见明显异常之胎儿307例,胎龄24~38周,测量胎儿腹围,对结果与孕周的关系进行相关与回归分析.结果:正常胎儿腹围随孕周变化的一元线性方程为:AC=-53.324+10.727×GA (r2=0.808,P<0.01).结论:胎儿腹围与孕周变化显著相关,测量结果为评估胎儿的发育情况提供一项量化的参考指标.

  15. Food composition of the diet in relation to changes in waist circumference adjusted for body mass index.

    Directory of Open Access Journals (Sweden)

    Dora Romaguera

    Full Text Available BACKGROUND: Dietary factors such as low energy density and low glycemic index were associated with a lower gain in abdominal adiposity. A better understanding of which food groups/items contribute to these associations is necessary. OBJECTIVE: To ascertain the association of food groups/items consumption on prospective annual changes in "waist circumference for a given BMI" (WC(BMI, a proxy for abdominal adiposity. DESIGN: We analyzed data from 48,631 men and women from 5 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC study. Anthropometric measurements were obtained at baseline and after a median follow-up time of 5.5 years. WC(BMI was defined as the residuals of waist circumference regressed on BMI, and annual change in WC(BMI (ΔWC(BMI, cm/y was defined as the difference between residuals at follow-up and baseline, divided by follow-up time. The association between food groups/items and ΔWC(BMI was modelled using centre-specific adjusted linear regression, and random-effects meta-analyses to obtain pooled estimates. RESULTS: Higher fruit and dairy products consumption was associated with a lower gain in WC(BMI whereas the consumption of white bread, processed meat, margarine, and soft drinks was positively associated with ΔWC(BMI. When these six food groups/items were analyzed in combination using a summary score, those in the highest quartile of the score--indicating a more favourable dietary pattern--showed a ΔWC(BMI of -0.11 (95% CI -0.09 to -0.14 cm/y compared to those in the lowest quartile. CONCLUSION: A dietary pattern high in fruit and dairy and low in white bread, processed meat, margarine, and soft drinks may help to prevent abdominal fat accumulation.

  16. Combined use of waist and hip circumference to identify abdominally obese HIV-infected patients at increased health risk.

    Directory of Open Access Journals (Sweden)

    Trevor O'Neill

    Full Text Available OBJECTIVES: To determine whether for a given waist circumference (WC, a larger hip circumference (HC was associated with a reduced risk of insulin resistance, type 2 diabetes (T2D, hypertension and cardiovascular disease (CVD in HIV-infected patients. A second objective was to determine whether, for a given WC, the addition of HC improved upon estimates of abdominal adiposity, in particular visceral adipose tissue (VAT, compared to those obtained by WC alone. METHODS: HIV-infected men (N = 1481 and women (N = 841 were recruited between 2005 and 2009. WC and HC were obtained using standard techniques and abdominal adiposity was measured using computed tomography. RESULTS: After control for WC and covariates, HC was negatively associated with risk of insulin resistance (p<0.05 and T2D [Men: OR = 0.91 (95% CI: 0.86-0.96; Women: OR = 0.91 (95% CI: 0.84-0.98]. For a given WC, HC was also negatively associated with a lower risk of hypertension (p<0.05 and CVD [OR = 0.94 (95% CI: 0.88-0.99] in men, but not women. Although HC was negatively associated with VAT in men and women after control for WC (p<0.05, the addition of HC did not substantially improve upon the prediction of VAT compared to WC alone. CONCLUSIONS: The identification of HIV-infected individuals at increased health risk by WC alone is substantially improved by the addition of HC. Estimates of visceral adipose tissue by WC are not substantially improved by the addition of HC and thus variation in visceral adiposity may not be the conduit by which HC identifies increased health risk.

  17. Curva de crescimento do diâmetro biparietal e da circunferência cefálica na gestação gemelar Growth curve of the biparietal diameter and head circumference in twin gestation

    Directory of Open Access Journals (Sweden)

    Mariza Marie Fujita

    1999-12-01

    examinations were performed each 2 or 3 weeks by a single observer. The parameters were compared with existing growth curves for singletons and twins. Results: curves and tables of biparietal diameter and head circumference in relation to gestational age were obtained. The study revealed difference in growth pattern mainly regarding the 3rd trimester in relation to singletons (Hadlock et al.15. The difference between the average values were 6 mm (biparietal diameter and 2.0 cm (head circumference at the 39th week of gestation. Also, some differences were observed relative to the twin studies. Conclusion: this study revealed that growth curves for average biparietal diameter and average head circumference of singletons are not appropriate to determine gestational age in twin gestations of the studiced population principally at the 3rd trimester

  18. [Understanding the low prevalence of weight-for-height deficit in lower-income Brazilian children: correlations among anthropometric values].

    Science.gov (United States)

    Post, C L; Victora, C G; Barros, A J

    2000-01-01

    The sample for this study consisted of 386 children from six to 59 months of age. The objective was to study the association between wasting and abdominal circumference. Thirteen anthropometric measurements were taken: weight, height or length, crown-rump length, 4 circumferences, 4 skin fold thicknesses, and 2 breadths. Muscle, fat, and total upper arm areas and leg length were calculated. Indices of body proportionality were obtained by dividing the anthropometric variables by height. Height-for-age, weight-for-age, and weight-for-height deficits were 25.9%, 14.4%, and 3.5%, respectively. The smallest and lightest children were those with the highest abdominal circumferences divided by height. According to this study, abdominal circumference for Brazilian children without height-for-age deficit is, on average, 1.2 cm larger than for US children. Using this as a basis, the study calculated that prevalence of weight-for-height deficit would increase from 3.5% to 7.0% by increasing 2 cm in the abdominal circumference. The low prevalence of wasting and the high prevalence of stunting as indicated by several Brazilian studies could be explained partially by larger mean abdominal circumference values.

  19. Potential diagnostic value of regional myocardial adrenergic imaging using {sup 123}I-MIBG SPECT to identify patients with Lewy body diseases

    Energy Technology Data Exchange (ETDEWEB)

    Lebasnier, Adrien; Peyronnet, Damien; Bouvard, Gerard [University Hospital Center of Caen, Department of Nuclear Medicine, Caen (France); Lamotte, Guillaume; Defer, Gilles [University Hospital Center of Caen, Department of Neurology, Caen (France); Manrique, Alain [University Hospital Center of Caen, Department of Nuclear Medicine, Caen (France); Cyceron PET Centre, Caen (France); Normandie Universite, Caen (France); Agostini, Denis [University Hospital Center of Caen, Department of Nuclear Medicine, Caen (France); Normandie Universite, Caen (France)

    2015-01-28

    The aim of this study was to determine the potential diagnostic value of regional myocardial adrenergic {sup 123}I-metaiodobenzylguanidine (MIBG) single photon emission computed tomography (SPECT) imaging to identify patients with Lewy body diseases (LBD+). Sixty-four consecutive patients who underwent cardiac {sup 123}I-MIBG SPECT to differentiate LBD+, including Parkinson's disease (PD) and dementia with Lewy bodies (DLB), from patients without LBD (LBD-) were retrospectively reviewed. A neurologist expert in memory disorders determined the final clinical diagnosis by using international clinical diagnostic criteria. Planar [heart to mediastinum ratio (HMR)] and {sup 123}I-MIBG SPECT[innervation defect score (IDS)] using the 17-segment left ventricular model (five-point scale) were obtained 4 h after the injection of {sup 123}I-MIBG on a low-energy high-resolution (LEHR) collimator. Receiver-operating characteristic (ROC) analysis was performed to determine the optimal HMR and IDS cut-off values to discriminate LBD+ from LBD-. Of the 64 patients, 45 (70 %) were diagnosed LBD+ (DLB, n = 27; PD, n = 18) and 19 were diagnosed LBD- (5 other dementias, 14 other parkinsonisms). The HMR and IDS of LBD+ were significantly different from those of LBD- (1.30 ± 0.21 vs 1.65 ± 0.26, p < 0.001; 39 ± 28 vs 8 ± 16, p = 0.001). The optimal HMR and IDS cut-off values to discriminate LBD+ (n = 45) from LBD- (n = 19) were 1.47 and 6/68, providing a sensitivity and specificity of 82.2 and 84.2 % and 86.7 and 73.7 %, respectively. Regional myocardial adrenergic {sup 123}I-MIBG imaging SPECT has a potential diagnostic value to identify LBD+. (orig.)

  20. Prediction Equations for Body-fat Percentage in Indian Infants and Young Children Using Skinfold Thickness and Mid-arm Circumference

    OpenAIRE

    Sen, Bandana; Bose, Kaushik; Shaikh, Saijuddin; Mahalanabis, Dilip

    2010-01-01

    The objective of the study was to develop prediction equations for fat-mass percentage in infants in India based on skinfold thickness, mid-arm circumference, and age. Skinfold thicknesses and mid-arm circumference of 46 apparently-healthy infants (27 girls and 19 boys), aged 6–24 months, from among the urban poor attending a well baby clinic of a hospital in Kolkata were measured. Their body-fat percentage was measured using the D2O dilution technique as the reference method. Equations for b...